Individual
KIMBERLY BROMAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
632 SLATE AVE, OWINGSVILLE, KY 40360-2206
(606) 674-6386
(606) 674-3096
Mailing address
PO BOX 1120, OWINGSVILLE, KY 40360-1120
(606) 674-6386
(606) 674-3096
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA417
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95001384
—
KY
Enumeration date
11/04/2005
Last updated
11/17/2017
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