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NPI Code Detail

MEDICARE: DR. MICHAEL KEVIN DRAGAN MD

MEDICARE: DR. MICHAEL KEVIN DRAGAN MD
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
1207Q00000XFamily Medicine Physician01058020AIN
2207Q00000XFamily Medicine Physician32086KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053370791
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL KEVIN DRAGAN MD
Provider Business Mailing Address
First Line : PO BOX 635283
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-5283
Country : US
Telephone Number : 859-334-8700
Fax Number : 859-334-8707
Provider Business Practice Location Address
First Line : 2000 LITTON LN
Second Line :
City : HEBRON
State : KY
Zip : 41048-8611
Country : US
Telephone Number : 859-334-8700
Fax Number : 859-334-8707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2006
Last Update Date : 04/21/2023

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Directions to “ DR. MICHAEL KEVIN DRAGAN MD” Practice Location

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