Individual
BRADLEY G GAMMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
PATTIE A CLAY HOSPITAL, 801 EASTERN BYPASS, RICHMOND, KY 40475
(859) 624-1879
(859) 625-3171
Mailing address
795 EASTERN BYP, BUILDING 2, SUITE 6, RICHMOND, KY 40475-2406
(859) 624-1879
(859) 625-3171
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1090024
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74002239
—
KY
Enumeration date
10/17/2006
Last updated
07/08/2007
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