Individual
JAMES W MIDDLETON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
117 W SOUTH ST, MUNFORDVILLE, KY 42765
(270) 524-7231
(270) 524-7415
Mailing address
PO BOX 579, MUNFORDVILLE, KY 42765
(270) 524-7231
(270) 524-7415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18239
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000046108
ANTHUM BCBS
KY
01
—
1064169
PASSPORT MEDICAID MGD CAR
KY
05
—
64182397
—
KY
Enumeration date
04/22/2006
Last updated
12/11/2013
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