Provider Demographics
NPI:1265247878
Name:DOUTY, DENNIS LYNN
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:LYNN
Last Name:DOUTY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:NE
Mailing Address - Zip Code:68434-1529
Mailing Address - Country:US
Mailing Address - Phone:402-641-7462
Mailing Address - Fax:
Practice Address - Street 1:334 CHERRY LN
Practice Address - Street 2:
Practice Address - City:SEWARD
Practice Address - State:NE
Practice Address - Zip Code:68434-1529
Practice Address - Country:US
Practice Address - Phone:402-641-7462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist