Individual
DR. MICHEAL BRYAN MINIX SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 OLDE VILLAGE CT, NICHOLASVILLE, KY 40356-8497
(859) 219-1256
Mailing address
PO BOX 910725, LEXINGTON, KY 40591-0725
(859) 948-7369
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
15153
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64151533
—
KY
Enumeration date
05/14/2007
Last updated
09/10/2015
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