Individual
BRADLEY RAYMOND WITHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-5956
(859) 323-1080
Mailing address
800 ROSE STREET ANESTHESIOLOGY, LEXINGTON, KY 40536-0001
(859) 218-0069
(859) 323-1080
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
R4611
KY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
55219
KY
Other
Enumeration date
03/26/2017
Last updated
06/10/2022
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