Individual
DR. NICOLE LYNN BREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2915 NEW HARTFORD RD., OWENSBORO, KY 42303-1449
(270) 852-1645
(270) 852-1646
Mailing address
2915 NEW HARTFORD RD, OWENSBORO, KY 42303-1323
(270) 852-1645
(270) 852-1646
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
40950
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40950
MEDICAL LICENSE
KY
Enumeration date
01/12/2007
Last updated
02/11/2015
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