Provider Demographics
NPI:1457795189
Name:MCGAUGH, JOHN-MICHAEL (DO)
Entity Type:Individual
Prefix:DR
First Name:JOHN-MICHAEL
Middle Name:
Last Name:MCGAUGH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1010 MAIN STREET SOUTH
Mailing Address - Street 2:
Mailing Address - City:MCKEE
Mailing Address - State:KY
Mailing Address - Zip Code:40447-7089
Mailing Address - Country:US
Mailing Address - Phone:859-626-7700
Mailing Address - Fax:859-626-7890
Practice Address - Street 1:30 STACY LANE RD
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:KY
Practice Address - Zip Code:40336-7356
Practice Address - Country:US
Practice Address - Phone:606-723-0665
Practice Address - Fax:606-723-0680
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2017-07-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY04166207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine