Individual
DR. MICHAEL STEPHEN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-9010
(859) 301-9018
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-9010
(859) 301-9018
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3014332
KY
363LA2100X
Acute Care Nurse Practitioner
3014332
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100670890
—
KY
Enumeration date
04/09/2020
Last updated
01/08/2026
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