Organization
EYECARE NETWORK LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN N. PRATER M.D. (OWNER)
(606) 759-5341
Entity
Organization
Contact information
Practice address
1360 MEDICAL PARK DR, MAYSVILLE, KY 41056-9621
(606) 759-5341
Mailing address
1360 MEDICAL PARK DR, MAYSVILLE, KY 41056-9621
(606) 759-5341
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1034014
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74328741
—
KY
05
—
74900440
—
KY
Enumeration date
05/04/2009
Last updated
05/04/2009
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