Individual
BRIAN ALLEN VICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APSS
Contact information
Practice address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
Mailing address
126 WILLOW DELL DR, EWING, KY 41039-8492
(606) 748-8797
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
KY
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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