Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 03955 | KY |
Y | 111NI0900X | Internist | 03955 | KY |
N | 207RG0100X | Gastroenterologist | 03955 | KY |
NPI | 1003255365 |
---|---|
Provider Name | Dr. Michael Patrick Krease |
First Address | New Albany, IN 47150-6804 |
Second Address | Louisville, KY 40217-1472 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2013 |
Last Update Date | 18/04/2019 |