Individual
MICHAEL TODD BRASHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
210 MARIE LANGDON DR, MANCHESTER, KY 40962-6388
(606) 598-5104
(606) 598-0983
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
46624
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14175566
CAQH ID
—
05
—
7100061300
—
KY
Enumeration date
09/29/2008
Last updated
09/11/2019
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