Organization
INTEGRATED PAIN MANAGEMENT OF KENTUCKY LLC
Active
Other names
Breakthrough Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL E FLETCHER MD (PRESIDENT)
(598) 495-7246
Entity
Organization
Contact information
Practice address
8780 US HIGHWAY 42 STE E, FLORENCE, KY 41042-6936
(859) 495-7246
(598) 292-0131
Mailing address
8780 US HIGHWAY 42 STE E, FLORENCE, KY 41042-6936
(859) 495-7246
(598) 292-0131
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2838808
—
OH
05
—
64311541
—
KY
Enumeration date
08/21/2017
Last updated
11/11/2021
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