Individual
BRENT MICHAEL DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8172 MAIN ST, CAMPBELLSBURG, KY 40011-1467
(502) 532-0099
(502) 532-0096
Mailing address
PO BOX 293, CAMPBELLSBURG, KY 40011-0293
(502) 532-0099
(502) 532-0096
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5503
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5503
KY CHIROPRACTIC LICENSE
KY
Enumeration date
05/24/2016
Last updated
05/24/2016
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