Individual
MICHAEL SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
299 KINGS DAUGHTERS DR, FRANKFORT, KY 40601-6514
(502) 875-5240
Mailing address
PO BOX 465, PROSPECT, KY 40059-0465
(502) 509-1421
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34711
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64981723
—
KY
Enumeration date
08/11/2005
Last updated
08/08/2013
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