Healthcare Provider Details

I. General information

NPI: 1871650101
Provider Name (Legal Business Name): MICHAEL W NEWKIRK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3151 S 2ND ST
LOUISVILLE KY
40208-1446
US

IV. Provider business mailing address

6101 BLUE LAGOON DR STE 200
MIAMI FL
33126-3168
US

V. Phone/Fax

Practice location:
  • Phone: 502-632-9313
  • Fax: 888-498-4838
Mailing address:
  • Phone: 844-630-0700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number29002
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number29002
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: