Michael Banks

NPI 1386097145 · on the registry since 2016 · sole proprietor

Practice

Address: 950 S 1st St
Louisville, KY 40203
Phone: (502) 585-9444
Fax: (502) 585-9466
Organisation at this address: Bridgehaven, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 54

Registry record

Primary taxonomy: Peer Specialist
175T00000X
Licence states on file: KY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-07-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky