Organization
MICHAEL W SIMON, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN MARIA SIMON (OFFICE MANAGER)
(859) 277-6516
Entity
Organization
Contact information
Practice address
610 E BRANNON RD, NICHOLASVILLE, KY 40356-6066
(859) 277-6516
(859) 277-1521
Mailing address
610 E BRANNON RD, NICHOLASVILLE, KY 40356-6066
(859) 277-6516
(859) 277-1521
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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