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Individual

DAWN D BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

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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