Individual
DR. MICHAEL DENNIS O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 301-0655
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 301-0655
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18785
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000033978
ANTHEM
KY
01
—
200039818
RAILROAD MEDICARE
KY
01
—
428850001
MEDICARE DME
KY
05
—
64187859
—
KY
01
—
90008962
MEDICAID DME
KY
01
—
CB8861
RAILROAD MEDICARE
KY
Enumeration date
06/22/2005
Last updated
05/11/2015
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