Individual
MICHAEL A FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2407 RING RD, STE 104, ELIZABETHTOWN, KY 42701-5938
(270) 766-1902
(270) 737-7654
Mailing address
1009 N DIXIE, ELIZABETHTOWN, KY 42701
(270) 765-4361
(270) 737-7654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24445
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64244452
—
KY
Enumeration date
11/22/2005
Last updated
10/13/2017
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