Individual
JACKIE BRUECKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
3311 S. HIGHWAY 27, SOMERSET, KY 42501
(606) 451-0874
Mailing address
1410 VERSAILLES RD, FRANKFORT, KY 40601-8219
(502) 695-3600
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
163661
KY
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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