Individual
DR. BRENDA KAYE WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DR.PH, APRN
Contact information
Practice address
150 UNIVERSITY BLVD, 112 ALLIE YOUNG HALL, MOREHEAD, KY 40351-1684
(606) 783-2055
(606) 783-9106
Mailing address
150 UNIVERSITY BLVD, 112 ALLIE YOUNG HALL, MOREHEAD, KY 40351-1684
(606) 783-2055
(606) 783-9106
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002104
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100034230
—
KY
Enumeration date
07/13/2007
Last updated
02/17/2012
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