Individual
MICAH NEAL BRAGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1000 S LIMESTONE, LEXINGTON, KY 40536-0298
(859) 323-5901
(859) 323-3040
Mailing address
800 ROSE STREET, UK COLLEGE OF MEDICINE M-53 CHANDLER MEDICAL CENTER, LEXINGTON, KY 40536-0298
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3433
KY
363AM0700X
Medical Physician Assistant
PA3433
KY
363AS0400X
Surgical Physician Assistant
PA3433
KY
Other
Enumeration date
05/14/2024
Last updated
11/13/2024
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