Individual
MICHELLE DIANE PISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 ZORN AVE BLDG T-22, LOUISVILLE, KY 40206-1433
(502) 287-6845
Mailing address
10813 MEETING ST, PROSPECT, KY 40059-7593
(502) 468-1546
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34975
KY
Other
Enumeration date
09/27/2006
Last updated
11/25/2025
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