Individual
BRADLEY JOSEPH HUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
165 NATCHEZ TRACE AVE STE 205, BOWLING GREEN, KY 42103-7947
(270) 745-7246
(270) 282-2027
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3003118
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74002023
—
KY
Enumeration date
09/09/2005
Last updated
02/13/2024
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