Individual
MR. GARY HAMILTON BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
121 HOSPITAL DR, SALEM, KY 42078-8043
(270) 988-7213
(270) 988-2199
Mailing address
139 HIGHLAND DR, MADISONVILLE, KY 42431-9154
(270) 825-2158
(270) 825-1277
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000360
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000179307
ID BLUE CROSS BLUE SHIELD
KY
05
—
8700018800
—
KY
Enumeration date
05/22/2006
Last updated
07/09/2007
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