Individual
DR. MICHAEL WAYNE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 E BRANNON RD, SUITE 201, NICHOLASVILLE, KY 40356-6066
(859) 277-6516
(859) 277-1521
Mailing address
610 E BRANNON RD, SUITE 201, NICHOLASVILLE, KY 40356-6066
(859) 277-6516
(859) 277-1521
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22740
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64227408
—
KY
Enumeration date
01/03/2007
Last updated
04/08/2013
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