Individual
BRADFORD LEE MARSILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 S JACKSON ST FL 2, LOUISVILLE, KY 40202-1675
(502) 852-5851
Mailing address
PO BOX 35, LYNCH, KY 40855-0035
(606) 273-2049
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
05628
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300081467
—
IN
05
—
7100910870
—
KY
Enumeration date
05/08/2018
Last updated
10/02/2023
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