Michael Petry
Family Doctor
6411 Veterans Memorial Pkwy
Crestwood
, Kentucky 40014-8698
Michael Petry
Family Doctor
6411 Veterans Memorial Pkwy
Crestwood
, Kentucky 40014-8698
(502) 272-5339
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Michael Petry
- Po Box 776351
- Chicago, IL
- Zip : 60677-6351
- Fax : (502) 272-5339
- Phone : (502) 559-9407
Second Address
- Michael Petry
- 6411 Veterans Memorial Pkwy
- Crestwood, KY
- Zip : 40014-8698
- Fax : (502) 241-4175
- Phone : (502) 241-8611
Reviews
FAQs
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What type of doctor is Michael Petry
In what state does Michael Petry practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | R4220 | KY |
National Provider Identifier
| NPI | 1003270422 |
|---|---|
| Provider Name | Michael Petry |
| First Address | Chicago, IL 60677-6351 |
| Second Address | Crestwood, KY 40014-8698 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/04/2016 |
| Last Update Date | 08/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.