Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL DOUGLAS BENNETT, PA
ActivePhysician Assistant · HIGHLAND HEIGHTS, KY
Registration Details
- NPI Number
- 1083085948
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2015 (10.512753671912 yrs)
- Last Updated
- Dec 5, 2023
- Licenses
-
50.004487 (OH)PA2067 (KY)
Practice Information
- Address
-
2626 ALEXANDRIA PIKE STE 100HIGHLAND HEIGHTS, KY, 410761530Browse KY providers · Browse ZIP 41076
- Phone
- 8593012663
- Fax
- 8598177848
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in HIGHLAND HEIGHTS, KY
| Name | Credential | NPI |
|---|---|---|
| NANCY L BEACH | P.A.C. | 1396774527 |
| BERNADETTE T PEAK | PA-C | 1316052764 |
| DARRIN C SMITH | PAC | 1891910964 |
| MRS. JESSICA BROOKE METZGER | P.A. | 1518375591 |
| MELISSA LEE JOHNSTON | PA | 1215535257 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.