Individual
GREGORY H BRANDENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
101 WEST MAIN STREET, VINE GROVE, KY 40175-1302
(270) 877-6672
(270) 877-6679
Mailing address
101 WEST MAIN STREET, VINE GROVE, KY 40175-1302
(270) 877-6672
(270) 877-6679
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3370P
KY
Other
Enumeration date
07/16/2006
Last updated
01/09/2008
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