Individual
MICHAEL HALIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN FNP-C
Contact information
Practice address
67 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9647
(270) 849-2379
(270) 789-6119
Mailing address
1700 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9615
(270) 789-6082
(270) 789-6080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009428
KY
Other
Enumeration date
06/23/2015
Last updated
05/18/2016
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