Individual
MRS. MICHELLE J ABOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
710 BRECKENRIDGE LN, LOUISVILLE, KY 40207-4504
(502) 473-8065
(502) 473-8066
Mailing address
710 BRECKENRIDGE LANE, SUITE 202, LOUISVILLE, KY 40207-4748
(024) 735-8065
(502) 473-8066
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35948
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000176586
ANTHEM
KY
01
—
110212179
RR MEDICARE
—
05
—
64017346
—
KY
Enumeration date
07/28/2006
Last updated
03/07/2023
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