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Individual

DR. MICHAEL AMES PUNNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6580 KENWOOD CROSSING RD, CRESTWOOD, KY 40014-7614
(502) 243-3161
(502) 243-3164
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01062436A
IN
207Q00000X
Family Medicine Physician
Primary
37781
KY
208M00000X
Hospitalist Physician
37781
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11199652
CAOH
05
200857410A
IN
05
64069289
KY
Enumeration date
11/03/2005
Last updated
12/08/2020
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