Individual
DR. BRYAN NEALE PRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1360 MEDICAL PARK DR, MAYSVILLE, KY 41056-9621
(606) 759-5341
(606) 759-7393
Mailing address
1360 MEDICAL PARK DR, MAYSVILLE, KY 41056-9621
(606) 759-5341
(606) 759-7393
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17402
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3600115400
—
KY
05
—
6417402200
—
KY
05
—
6592808700
—
KY
05
—
7432874100
—
KY
05
—
7490044000
—
KY
Enumeration date
12/27/2006
Last updated
05/26/2010
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