Doctor Name: | JOSEPH MICHAEL BANKS |
NPI Number: | 1275778987 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | APRN |
License Number: | 5686P |
Business Practice Address: | 756 Highway 2034 Whitesburg, KY - 418587500 |
Business Phone Number: | 6066348153 |
Business Fax Number: | |
Mailing Address: | 104 Mccray Ln, MILLSTONE |
State: | KY |
Postal Code: | 418388922 |
Phone Number: | 6066348196 |
Fax Number: | |
NPI Enumeration Date: | 12/09/2008 |
NPI Last Update Date: | 07/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 5686P |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |