Kommor, Michael Devon

Kommor, Michael Devon is an individual health care provider with primary practice located at 4003 Kresge Way Suite 500, Louisville KY 40207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Kommor, Michael Devon can be contacted via phone (502) 897-1166.

Contact Information

Primary practice address
4003 Kresge Way Suite 500 Louisville KY 40207
Phone: (502) 897-1166
Fax: (502) 897-1461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 27861 Kentucky

Profile Details

NPI number 1760453518
LBN Legal business name Kommor, Michael Devon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Dec 7th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760453518 NPPES
Kentucky Other 000000652535 ANTHEM
Kentucky MEDICAID 64278617 ANTHEM
Kentucky Other 3770421000 ANTHEM
Kentucky Other 50027652 ANTHEM

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