Individual
ANDREW MICCICHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 S LIMESTONE, LEXINGTON, KY 40536-3903
(859) 323-5901
(859) 323-3040
Mailing address
230 MCKEE PL, SUITE 500, PITTSBURGH, PA 15213-3903
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
55768
KY
207P00000X
Emergency Medicine Physician
MT210892
PA
207P00000X
Emergency Medicine Physician
TP361
KY
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
55768
KY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
55768
KY
Other
Enumeration date
07/20/2016
Last updated
04/17/2023
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