| NPI | 1912919929 |
|---|---|
| Doing Business As | BRANDENBURG FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL DAWN WEBSTER Office Manager 270-422-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3003595) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2016-06-27 |