Petry, Michael

Petry, Michael is an individual health care provider with primary practice located at 6411 Veterans Memorial Pkwy , Crestwood KY 40014-8698. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Petry, Michael can be contacted via phone (502) 241-8611.

Contact Information

Primary practice address
6411 Veterans Memorial Pkwy Crestwood KY 40014-8698
Phone: (502) 241-8611
Fax: (502) 241-4175
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R4220 Kentucky

Profile Details

NPI number 1003270422
LBN Legal business name Petry, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2016
Last updated Dec 8th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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