Organization
BRALEY & THOMPSON
Active
Other names
Braley & Thompson - Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
1 DUNBAR PLZ, SUITE 100, DUNBAR, WV 25064-3038
(800) 866-0860
Mailing address
9901 LINN STATION ROAD, LOUISVILLE, KY 40223
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002002043
—
VA
05
—
0002002126
—
VA
05
—
0002002217
—
VA
05
—
0002002399
—
VA
05
—
008945845
—
VA
05
—
0100149811
—
VA
05
—
010080479
—
VA
05
—
010195853
—
VA
05
—
010237921
—
VA
05
—
010246563
—
VA
05
—
0102834857
—
VA
05
—
010387680
—
VA
Enumeration date
10/01/2007
Last updated
05/22/2008
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