Individual
BRADY EDWARD BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5000 KY ROUTE 321, PRESTONSBURG, KY 41653-9113
(606) 886-8511
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3014281
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3014281
KENTUCKY APRN LICENSE
KY
Enumeration date
01/31/2020
Last updated
01/31/2020
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