Individual
DR. BRACKEN CLAY LEWIS
Active
Individual
DR. BRACKEN CLAY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43687
KY
207R00000X
Internal Medicine Physician
LL29141
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100118210
—
KY
Enumeration date
11/01/2006
Last updated
08/21/2015
Update your record
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