Punnett, Michael Ames
Punnett, Michael Ames is an individual health care provider with primary practice located at 6580 Kenwood Crossing Rd , Crestwood KY 40014-7614. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Punnett, Michael Ames can be contacted via phone (502) 243-3161.Contact Information
Primary practice address
6580 Kenwood Crossing Rd
Crestwood KY 40014-7614
Phone: (502) 243-3161
Fax: (502) 243-3164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01062436A | Indiana |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 37781 | Kentucky |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 37781 | Kentucky |
Profile Details
| NPI number | 1619968013 |
|---|---|
| LBN Legal business name | Punnett, Michael Ames |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Dec 8th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619968013 | NPPES |
| Kentucky | MEDICAID | 64069289 | |
| Kentucky | Other | 11199652 | |
| Kentucky | MEDICAID | 200857410A |
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