Individual
BRYAN JESSOP ECKERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 AUDUBON PLAZA DR, LL2, LOUISVILLE, KY 40217-1300
(502) 636-4940
(502) 636-4941
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
46403
KY
2084V0102X
Vascular Neurology Physician
46403
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74003114
—
KY
Enumeration date
04/28/2009
Last updated
10/11/2019
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