Individual
KELLY KILBURN MCBRAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
165 NATCHEZ TRACE AVE STE 205, BOWLING GREEN, KY 42103-7947
(270) 745-7246
(270) 282-2027
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4423
TN
363A00000X
Physician Assistant
Primary
PA2738
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2020
Last updated
01/08/2025
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