Provider Demographics
NPI:1568755825
Name:BOUNDS, MICHAEL CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CHARLES
Last Name:BOUNDS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6507 DEER POINTE DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-1667
Mailing Address - Country:US
Mailing Address - Phone:410-543-9332
Mailing Address - Fax:410-543-9237
Practice Address - Street 1:UKMC GENERAL SURGERY
Practice Address - Street 2:800 ROSE ST
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0293
Practice Address - Country:US
Practice Address - Phone:859-323-6162
Practice Address - Fax:859-323-6840
Is Sole Proprietor?:No
Enumeration Date:2011-05-19
Last Update Date:2020-12-30
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Provider Licenses
StateLicense IDTaxonomies
KY491632086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100251130Medicaid