Individual
KEVIN BRASHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
826 KY 11 N, BOONEVILLE, KY 41314-9155
(606) 593-6395
(606) 593-5916
Mailing address
PO BOX 40, WHITESBURG, KY 41858-0040
(606) 633-4823
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10608
KY
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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