Individual
ANDREW THOMAS BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
638 E COLLEGE AVE STE B, STANTON, KY 40380-2363
(606) 318-3500
(606) 318-3503
Mailing address
638 E COLLEGE AVE STE B, STANTON, KY 40380-2363
(606) 318-3500
(606) 318-3503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3510
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101029280
—
KY
Enumeration date
05/20/2024
Last updated
01/28/2025
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