| Doctor Name: | DR. KURT D. MICHAEL |
| NPI Number: | 1083668487 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 2802 |
| Business Practice Address: | 222 Birch St Boone, NC - 286075067 |
| Business Phone Number: | 8282646512 |
| Business Fax Number: | 8282646512 |
| Mailing Address: | 222 Birch St, BOONE |
| State: | NC |
| Postal Code: | 286075067 |
| Phone Number: | 8282646512 |
| Fax Number: | 8282646512 |
| NPI Enumeration Date: | 05/20/2006 |
| NPI Last Update Date: | 05/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 2802 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |