Individual
DR. MICHELLE AUST VEAZEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 MEDICAL VILLAGE DR, SUITE 268, EDGEWOOD, KY 41017-5401
(859) 341-1100
(859) 344-4443
Mailing address
40 N GRAND AVE STE 103, FORT THOMAS, KY 41075-1765
(859) 781-4900
(859) 572-3035
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
41395
KY
207YP0228X
Pediatric Otolaryngology Physician
41395
KY
207YX0602X
Otolaryngic Allergy Physician
41395
KY
207YX0901X
Otology & Neurotology Physician
41395
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000542889
ANTHEM
—
05
—
001874782
—
PA
Enumeration date
10/26/2006
Last updated
05/01/2018
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