Individual
MRS. MICHELLE A. DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
497 TUCKER DR, MAYSVILLE, KY 41056-9111
(606) 759-4678
(606) 759-4834
Mailing address
497 TUCKER DR, MAYSVILLE, KY 41056-9111
(606) 759-4678
(606) 759-4834
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT001635
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049626
ANTHEM BC/BS
KY
01
—
6214
CHA HEALTH
KY
05
—
87016358
—
KY
Enumeration date
07/08/2005
Last updated
07/08/2007
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