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Individual
TIMOTHY DUANE BRAMMELL
Active
Individual
TIMOTHY DUANE BRAMMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24039
KY
208M00000X
Hospitalist Physician
Primary
24039
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110245647
RR MEDICARE PIN
KY
01
—
37903705
MEDICAID LAB GROUP
LA
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
64240393
—
KY
01
—
CB5773
RR MEDICARE GROUP
KY
Enumeration date
07/03/2006
Last updated
05/06/2010
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