Individual
BARRY ALLEN BROKAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2865 CHANCELLOR DR, SUITE 225, CRESTVIEW HILLS, KY 41017-3912
(859) 341-5400
(859) 578-4594
Mailing address
2865 CHANCELLOR DR, SUITE 225, CRESTVIEW HILLS, KY 41017-3912
(859) 341-5400
(859) 578-4594
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30870
KY
Other
Enumeration date
11/25/2005
Last updated
11/07/2014
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