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Michael Eastridge

NPI 1467117721 · on the registry since 2021 · sole proprietor

Practice

Address
361 Valley Ln
Lebanon, KY 40033
Phone
(270) 699-5827

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-11-02

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