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Individual

MICHAEL T DUGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
Mailing address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA446
KY
363AM0700X
Medical Physician Assistant
PA446
KY
363AS0400X
Surgical Physician Assistant
Primary
PA446
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95004602
KY
Enumeration date
09/11/2006
Last updated
09/22/2025
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