Individual
DR. MICHAEL BRENNAN ROYALTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MONARCH ST STE 100, LEXINGTON, KY 40513-1899
(859) 278-8421
(859) 276-2433
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
KY41022
KY
207Q00000X
Family Medicine Physician
Primary
41022
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100015880
—
KY
Enumeration date
02/23/2007
Last updated
12/08/2022
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