Individual
MYRA IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1011 PARIS RD STE 337, MAYFIELD, KY 42066-3306
(270) 238-2015
Mailing address
1011 PARIS RD STE 337, MAYFIELD, KY 42066-3306
(270) 238-2015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52113
KY
207R00000X
Internal Medicine Physician
ME129218
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100597150
—
KY
Enumeration date
04/20/2015
Last updated
03/08/2026
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