Doctor Name: | MR. MICHAEL WAYNE MYERS |
NPI Number: | 1578554994 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ARNP |
License Number: | 3004651 |
Business Practice Address: | 40 Main Street Campton, KY - 41301 |
Business Phone Number: | 6066689076 |
Business Fax Number: | |
Mailing Address: | 40 Main Street, CAMPTON |
State: | KY |
Postal Code: | 41301 |
Phone Number: | 6066689076 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2005 |
NPI Last Update Date: | 04/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3004651 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |