Individual provider · Type 1 NPI

Susan Marie Micheli, PA-C

Medical Physician Assistant · Fort Knox, KY

NPI number 1316924442 Active

Practice location

289 Ireland Ave, Ireland Community Hospital
Fort Knox, KY 40121-5111

Call (502) 624-9007 Map

Fax (502) 624-0252

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1445 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1316924442

Susan Marie Micheli, PA-C's National Provider Identifier is 1316924442, issued on Dec 29, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Knox, KY. The record was last updated on Jul 13, 2026.