Individual
BRANDON MICHAEL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., AT-C
Contact information
Practice address
160 PEDRO WAY, WINCHESTER, KY 40391-8354
(859) 745-2152
Mailing address
384 TANGLEY WAY, LEXINGTON, KY 40517-1637
(959) 533-4375
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
AT1094
KY
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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