SUSAN MARIE MICHELI PA-C NPI 1316924442

NPI Information

NPI: 1316924442
Provider Name: SUSAN MARIE MICHELI, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
289 IRELAND AVE
IRELAND COMMUNITY HOSPITAL
FORT KNOX, KY
ZIP 40121
Phone: (502) 624-9007
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Susan Marie Micheli, PA-C is a medical physician assistant in Fort Knox, KY. Susan Marie Micheli, PA-C NPI is 1316924442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

289 IRELAND AVE
IRELAND COMMUNITY HOSPITAL
FORT KNOX, KY
ZIP 40121-111
Phone: (502) 624-9007
Fax: (502) 624-0252

The enumeration date for this NPI number is 12/29/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	1445	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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