Individual
ANTHONY ELVIS BREWSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
4036 DUTCHMANS LN, LOUISVILLE, KY 40207-4704
(502) 895-2020
(502) 657-4982
Mailing address
4036 DUTCHMANS LN, LOUISVILLE, KY 40207-4704
(502) 895-2020
(502) 657-4982
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
110000
KY
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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