BRANDON CHASE WAMPLER

ELIZABETHTOWN, KY
NPI1154303675
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KY  PA1975)
Enumeration Date2005-11-18
Last Update Date2020-10-29
Business Address
Mr. BRANDON CHASE WAMPLER PA-C
2412 RING RD STE 200
ELIZABETHTOWN, KY 42701-5913
Phone number: 270-765-5926
Mailing Address
Mr. BRANDON CHASE WAMPLER PA-C
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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