Individual
DR. MICHAEL R BRADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1725 W EVERLY BROTHERS BLVD, CENTRAL CITY, KY 42330-1833
(270) 754-4483
(270) 754-4909
Mailing address
5420 STATE ROUTE 764, WHITESVILLE, KY 42378-9641
(270) 313-8717
(270) 754-4909
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1311DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77013118
—
KY
Enumeration date
12/05/2006
Last updated
03/03/2023
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