Provider Demographics
NPI:1932136892
Name:MAY, PHILIP BESSON JR (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:BESSON
Last Name:MAY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 16057
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40256-0057
Mailing Address - Country:US
Mailing Address - Phone:908-453-4531
Mailing Address - Fax:
Practice Address - Street 1:4501 LOUISE UNDERWOOD WAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40216-3987
Practice Address - Country:US
Practice Address - Phone:502-368-2348
Practice Address - Fax:502-371-9067
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY48073207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ520447B1LOtherMEDICARE BILLING NO.
NJE80103Medicare UPIN