Individual
RON BRISBON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1034 N 13TH ST, PADUCAH, KY 42001-7061
(270) 366-2642
Mailing address
1034 N 13TH ST, PADUCAH, KY 42001-7061
(270) 366-2642
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
KY
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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