Individual
MR. BRANDON R. BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
171 E LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-1253
(270) 351-5367
Mailing address
171 E LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-1253
(270) 351-5367
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
110135
KY
Other
Enumeration date
11/07/2019
Last updated
06/10/2021
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