Individual
MICHAEL GENE MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 DIXIE HWY, SUITE 200, FT WRIGHT, KY 41011
(839) 578-4143
(859) 344-3183
Mailing address
1717 DIXIE HWY, SUITE 200, FT WRIGHT, KY 41011
(839) 578-4143
(859) 344-3183
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
19408
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64194087
—
KY
Enumeration date
12/04/2006
Last updated
07/25/2019
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