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NPI Code Detail

MEDICARE: DR. MICHAEL A SEXTON AU.D.

MEDICARE:  DR. MICHAEL A SEXTON  AU.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
1231H00000XAudiologist0449KY
2237700000XHearing Instrument Specialist0632KY
3237600000XAudiologist-Hearing Aid FitterKY-0449KY
4231H00000XAudiologistKY-0917KY
5237700000XHearing Instrument Specialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000614199OTHERKYKY BCBS
21437152279OTHERKYNPI
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437152279
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL A SEXTON AU.D.
Provider Business Mailing Address
First Line : 2605 KENTUCKY AVE
Second Line : DOB 3, SUITE 601
City : PADUCAH
State : KY
Zip : 42003-3800
Country : US
Telephone Number : 270-408-4368
Fax Number : 270-408-3272
Provider Business Practice Location Address
First Line : 2605 KENTUCKY AVE
Second Line : DOB 3, SUITE 601
City : PADUCAH
State : KY
Zip : 42003-3800
Country : US
Telephone Number : 270-408-4368
Fax Number : 270-408-3272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 06/16/2015

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Directions to “ DR. MICHAEL A SEXTON AU.D.” Practice Location

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