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Individual

BRANDIE LEANN DOTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501-1689
(606) 260-8613
Mailing address
223 EXECUTIVE PARK, LOUISVILLE, KY 40207-4202
(502) 907-0356
(502) 919-9780

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004412
KY
363L00000X
Nurse Practitioner
57317
WV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3004412
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
57317
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001432355
ANTHEM PROVIDER ID NUMBER
01
110921KYIP
AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
KY
01
3236322
UNITED HEALTHCARE PROVIDER ID NUMBER
05
78014289
KY
Enumeration date
07/13/2006
Last updated
06/12/2025
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