Individual
DR. MICHAEL W. VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 GREATSTONE PT, LEXINGTON, KY 40504
(859) 257-1000
Mailing address
900 S LIMESTONE CTW 304, LEXINGTON, KY 40536-0001
(859) 323-6561
(859) 323-1197
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TP721
KY
208000000X
Pediatrics Physician
TP721
KY
Other
Enumeration date
07/22/2014
Last updated
06/15/2018
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