Individual
MICHAEL ALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2934 BRECKENRIDGE LN STE 2, LOUISVILLE, KY 40220-3903
(502) 454-7871
(502) 454-7872
Mailing address
2934 BRECKENRIDGE LN STE 2, LOUISVILLE, KY 40220-3903
(502) 454-7871
(502) 454-7872
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
02245
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64022452
—
KY
Enumeration date
06/01/2006
Last updated
04/17/2014
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