Individual
MICHAEL RAY LUCKENBILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TRADPSS/APSS/CSA
Contact information
Practice address
1555 E NEW CIRCLE RD STE 190, LEXINGTON, KY 40509-1044
(859) 329-1181
(859) 407-1186
Mailing address
1555 E NEW CIRCLE RD STE 190, LEXINGTON, KY 40509-1044
(859) 329-1181
(859) 407-1186
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
304897
KY
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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