Individual
DAWN D BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5721 BARDSTOWN RD, LOUISVILLE, KY 40291-1913
(502) 231-1144
(502) 231-1508
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
3003061
KY
363LP0200X
Pediatric Nurse Practitioner
Primary
3003061
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300050735
—
IN
05
—
78015351
—
KY
01
—
K248421
MEDICARE
KY
Enumeration date
10/18/2006
Last updated
09/21/2022
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