Provider Demographics
NPI:1598101503
Name:HOUGHTON, KIMBERLY DOTHA (MD)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:DOTHA
Last Name:HOUGHTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:DOTHA
Other - Last Name:CHRISTENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2841 DEBARR RD SUITE 50
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508
Mailing Address - Country:US
Mailing Address - Phone:907-276-2811
Mailing Address - Fax:907-276-2810
Practice Address - Street 1:2841 DEBARR RD SUITE 50
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:907-276-2811
Practice Address - Fax:907-276-2810
Is Sole Proprietor?:No
Enumeration Date:2013-05-16
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK141651207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine