| John D Michelman, Md, Psc | |
|
861 Corporate Dr Suite 103 Lexington KY 40503-5432 | |
| (859) 224-2022 | |
| Not Available |
| Full Name | John D Michelman, Md, Psc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 861 Corporate Dr, Lexington, Kentucky |
| Authorized Official Name and Position | Linda Derr (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 2707449600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John D Michelman, Md, Psc Po Box 9150 Paducah KY 42002-9150 Ph: (270) 744-9600 | John D Michelman, Md, Psc 861 Corporate Dr Suite 103 Lexington KY 40503-5432 Ph: (859) 224-2022 |
| NPI Number | 1114192895 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114192895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 37523 (Kentucky) | Primary |
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