Individual
ANDREW BRUBAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 SUSAN WAY DR, RICHMOND, KY 40475-9694
(859) 248-0425
Mailing address
113 SUSAN WAY DR, RICHMOND, KY 40475-9694
(859) 248-0425
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
060495082
IL
2255A2300X
Athletic Trainer
Primary
096.003575
IL
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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