Provider Demographics
NPI:1356462154
Name:SETTLES, DIANE MICHELLE (MD)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:MICHELLE
Last Name:SETTLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2379
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41105-2379
Mailing Address - Country:US
Mailing Address - Phone:064-086-2006
Mailing Address - Fax:606-408-6612
Practice Address - Street 1:613 23RD ST STE 350
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-2879
Practice Address - Country:US
Practice Address - Phone:606-408-8200
Practice Address - Fax:606-408-6291
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01069664A207R00000X
KY46943207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0101291Medicaid
IN201026200Medicaid
KY7100279830Medicaid
IN201026200Medicaid
KY7100279830Medicaid