Individual
DR. MICHAEL THORNTON NEWCOMB
Active
Individual
DR. MICHAEL THORNTON NEWCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
45025
KY
207W00000X
Ophthalmology Physician
R1832
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169
LC MEDICARE GROUP ID NUMBER
KY
01
—
65923740
LC MEDICAID GROUP NUMBER
KY
Enumeration date
11/04/2008
Last updated
04/06/2012
Update your record
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