| NPI | 1255805586 |
|---|---|
| Other Name | BRANNON CROSSING FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DANYEL D CLAY Vice President Revenue Cycle 502-253-4911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2024-07-10 |