| Doctor Name: | MR. DALLAS W DOOLEY |
| NPI Number: | 1316384332 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN-C |
| License Number: | 13103826021 |
| Business Practice Address: | 1100 Columbine Dr Holton, KS - 66436 |
| Business Phone Number: | 7853642126 |
| Business Fax Number: | 7853649620 |
| Mailing Address: | 1100 Columbine Dr, HOLTON |
| State: | KS |
| Postal Code: | 66436 |
| Phone Number: | 7853642116 |
| Fax Number: | 7853649620 |
| NPI Enumeration Date: | 05/31/2013 |
| NPI Last Update Date: | 05/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WE0003X |
| License Number: | 13103826021 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Emergency |
| Taxonomy Definition: | |