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Individual

DR. BRANDON ERIK GISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1207 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6101
(859) 258-4411
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
49444
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300009866
IN
05
7100275660
KY
Enumeration date
04/30/2012
Last updated
04/09/2025
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