Individual
MR. BRECKEN NATHANIEL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8017 STATE ROUTE 503, ARGILLITE, KY 41121-8616
(606) 315-6969
Mailing address
8017 STATE ROUTE 503, ARGILLITE, KY 41121-8616
(606) 315-6969
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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