MICHAEL KILLEBREW NPI 1770995235

NPI Information

NPI: 1770995235
Provider Name: MICHAEL KILLEBREW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
425 BROADWAY ST
PADUCAH, KY
ZIP 42001
Phone: (270) 442-7121
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Michael Killebrew is a mental health counselor in Paducah, KY. Michael Killebrew NPI is 1770995235. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

425 BROADWAY ST
PADUCAH, KY
ZIP 42001-713
Phone: (270) 442-7121

The enumeration date for this NPI number is 6/2/2014 and was last updated on 6/2/2014.

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	101YM0800X	Counselor	Mental Health			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: 11/14/2023

NPI Synchronization or Removal

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