MEDICARE: MICHELLE E WRIGHTSON 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
1	207R00000X	Internal Medicine Physician	26116	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000041828	OTHER	KY	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700861218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE E WRIGHTSON MD

Provider Business Mailing Address
First Line	:	PO BOX 936
Second Line	:
City	:	LONDON
State	:	KY
Zip	:	40743-0936
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3581 HARRODSBURG RD STE 350
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40513-1140
Country	:	US
Telephone Number	:	859-313-3400
Fax Number	:	859-313-3087

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	11/18/2019

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Directions to “ MICHELLE E WRIGHTSON MD” Practice Location

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