Individual
ERIN BRAD ATHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-5851
(502) 852-3762
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20754
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64207541
—
IN
01
—
K115061
MEDICARE
KY
Enumeration date
12/22/2005
Last updated
03/15/2018
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