Individual
DR. TANNER BRICKEY LEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
502 E MAIN ST, STANFORD, KY 40484-1343
(859) 279-1994
Mailing address
502 E MAIN ST, STANFORD, KY 40484-1343
(859) 279-1994
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2241DT
KY
Other
Enumeration date
06/23/2021
Last updated
11/15/2023
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