Individual
BRADLEY WAYNE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 473-2100
(502) 459-6461
Mailing address
PO BOX 70354, LOUISVILLE, KY 40270-0354
(502) 473-2132
(502) 459-6461
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
47107
KY
Other
Enumeration date
02/16/2009
Last updated
02/16/2009
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