1649440462 NPI number — DR. MICHELE ANN ZEHNDER D.V.M.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649440462 NPI number — DR. MICHELE ANN ZEHNDER D.V.M.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZEHNDER
Provider First Name:
MICHELE
Provider Middle Name:
ANN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.V.M.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ZEHNDER
Provider Other First Name:
CHELE
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.V.M.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1649440462
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3429 BRECKENRIDGE LN
Provider Second Line Business Mailing Address:
SUITE 181
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40220-3101
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-345-3863
Provider Business Mailing Address Fax Number:
502-805-0676

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2226 RICHLAND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40218-3228
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-345-3863
Provider Business Practice Location Address Fax Number:
502-805-0676
Provider Enumeration Date:
03/07/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174M00000X , with the licence number:  NS-KY-2987 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)