Individual
BRANDON WRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1325 N RACE ST, GLASGOW, KY 42141-3454
(270) 651-4865
Mailing address
535 OAKLAND CIR, PADUCAH, KY 42003-8921
(270) 564-2767
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2015
Last updated
04/08/2015
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