Individual
RANDY LYNN BRIANT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
328 E BROADWAY, MAYFIELD, KY 42066-2414
(270) 970-3821
Mailing address
328 E BROADWAY, MAYFIELD, KY 42066-2414
(270) 970-3821
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
1245803048
KY
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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