Provider Demographics
NPI:1164466066
Name:NAPIER, MICHAEL W (PAC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:W
Last Name:NAPIER
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:101 CHAD ST
Mailing Address - City:EVARTS
Mailing Address - State:KY
Mailing Address - Zip Code:40828-0039
Mailing Address - Country:US
Mailing Address - Phone:606-837-2108
Mailing Address - Fax:606-837-9389
Practice Address - Street 1:101 CHAD ST
Practice Address - Street 2:CLOVERFORK CLINIC
Practice Address - City:EVARTS
Practice Address - State:KY
Practice Address - Zip Code:40828-0039
Practice Address - Country:US
Practice Address - Phone:606-837-2108
Practice Address - Fax:606-837-9389
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2015-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KYPA033363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY9500422200Medicaid
KY183823Medicare ID - Type Unspecified
Q02561Medicare UPIN
KY0918802Medicare ID - Type UnspecifiedPART B
KY9500422200Medicaid