Individual
DR. BRADLEY WAYNE HOUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2603 KENTUCKY AVE, SUITE 302, PADUCAH, KY 42003
(270) 575-4551
(270) 575-4560
Mailing address
PO BOX 9685, PADUCAH, KY 42002-9685
(270) 575-4551
(270) 575-4560
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
33501
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000188608
BCBS
KY
05
—
64014103
—
KY
Enumeration date
11/20/2006
Last updated
07/08/2007
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