Individual
BRANDON R COOK I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
299 KINGS DAUGHTERS DR, FRANKFORT, KY 40601-6514
(502) 875-5240
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
3012002
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100570420
—
KY
01
—
K295101
MEDICARE
KY
Enumeration date
01/26/2018
Last updated
07/22/2019
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