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Dr. Michael Booth, MD
Student in an Organized Health Care Education/Training Program in Madisonville, Kentucky
NPI 1184073629

Michael Booth is a Student in an Organized Health Care Education/Training Program based in Madisonville, KY. Michael Booth practices in Madisonville, KY and has the professional credentials of MD. The NPI Number for Michael Booth is 1184073629 and holds a License No. (Kentucky).

The current practice location address for Michael Booth is 200 Clinic Dr, Madisonville, KY and can be reached out via phone at 270-825-6680 and via fax at 270-825-7266. You can also correspond with Michael Booth through the mailing address at 200 CLINIC DR, MADISONVILLE, KY - 42431-1661 (mailing address contact number: 270-825-7200).

Location: 200 Clinic Dr, Madisonville, KY, 42431-1661
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184073629
Provider Name
Michael Booth
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Clinic Dr, Madisonville, KY, 42431-1661
Phone Number
270-825-6680
Fax Number
270-825-7266
Provider Enumeration Date
06/06/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 Clinic Dr
City
Madisonville
State
Kentucky
Zip
42431-1661
Phone Number
270-825-6680
Fax Number
270-825-7266
person
Provider Business Mailing Address Details
Address
200 Clinic Dr
City
Madisonville
State
Kentucky
Zip
42431-1661
Phone Number
270-825-7200
Fax Number
270-825-7266
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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