Provider Demographics
NPI:1144360082
Name:BEST, MICHAEL M (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:M
Last Name:BEST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 BRECKENRIDGE LN
Mailing Address - Street 2:SUITE 170
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4674
Mailing Address - Country:US
Mailing Address - Phone:502-587-0023
Mailing Address - Fax:502-568-6867
Practice Address - Street 1:950 BRECKENRIDGE LN
Practice Address - Street 2:SUITE 170
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4674
Practice Address - Country:US
Practice Address - Phone:502-587-0023
Practice Address - Fax:502-568-6867
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY20340174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IND69506Medicare UPIN