Individual provider · NPI-1

Michael Alt, Do

Psychiatry & Neurology, Neurology · Louisville, KY

NPI number1740227255
StatusActive
Last updated in NPPESApr 17, 2014

Details

NPI
1740227255
Entity type
Individual (NPI-1)
Name
Michael Alt
Credential
Do
Sex
Male
Sole proprietor
No
Enumeration date
Jun 1, 2006
Last updated
Apr 17, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology02245KYYes

Practice location

2934 Breckenridge Ln Ste 2
Louisville, KY 40220-3903

Phone 502-454-7871 · Fax 502-454-7872

Mailing address

2934 Breckenridge Ln Ste 2
Louisville, KY 40220-3903

Phone 502-454-7871 · Fax 502-454-7872

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