Individual
BLAIR BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5222 DIXIE HWY, LOUISVILLE, KY 40216-1704
(502) 449-7995
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8724
KY
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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