NPI
Candace Douglas
NPI 1265846638
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MA,ATC
- Type
- Individual
- Enumeration date
- 2014-06-13
- Last updated
- 2014-06-13
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Specialties
Licenses
- License OH
- AT.003574
Location
- Practice location
- 5450 Montgomery Square Dr, Apt G
- City
- Kettering OH
- Postal code
- 45440-2952
- Phone
- (937) 367-3200
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Kettering, OH. 1,994 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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