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NPI Code Detail

MEDICARE: DR. MICHAEL D NESTOR M.D.

MEDICARE: DR. MICHAEL D NESTOR M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician20212KY

General Provider Information

NPI Number : 1154418846
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL D NESTOR M.D.
Provider Business Mailing Address
First Line : PO BOX 29
Second Line :
City : ASHLAND
State : KY
Zip : 41105-0029
Country : US
Telephone Number : 877-416-4452
Fax Number :
Provider Business Practice Location Address
First Line : 1000 ST. CHRISTOPHER DRIVE
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7034
Country : US
Telephone Number : 606-833-3791
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 03/22/2026

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