Organization
STEVE W BRAMEL
Active
Other names
Family Shoe
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE W BRAMEL (OWNER)
(859) 238-2040
Entity
Organization
Contact information
Practice address
117 LETTON DR, DANVILLE, KY 40422-9389
(859) 238-2040
(859) 238-2040
Mailing address
117 LETTON DR, DANVILLE, KY 40422-9389
(859) 238-2040
(859) 238-2040
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000489974
ANTHEM BCBS SUPPLIER ID
KY
Enumeration date
06/19/2007
Last updated
01/14/2009
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