Individual
RANDELL B BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
14662 N US HIGHWAY 25 E, CORBIN, KY 40701-6425
(606) 526-9005
Mailing address
285 BEECHWOOD DR, LONDON, KY 40744-5402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10939
KY
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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