Individual
MICHAEL DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
(270) 570-1043
Mailing address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3790
KY
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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