Individual
MS. MICHELE FASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
115 HUSTON DR. STE1, SHEPHERDSVILLE, KY 40165-7520
(502) 955-7311
(502) 955-9694
Mailing address
PO BOX 776351, CHICAGO, KY 60667-6351
(502) 272-5573
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47882
KY
Other
Enumeration date
04/19/2012
Last updated
08/27/2024
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