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Individual

DR. LAUREN CARNEY BRILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3950 KRESGE WAY, SUITE 207, LOUISVILLE, KY 40207-4637
(502) 893-0220
(502) 893-0563
Mailing address
PO BOX 950296, LOUISVILLE, KY 40295-0296
(502) 893-0220
(502) 893-0563

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R0999
KY
207RG0100X
Gastroenterology Physician
Primary
40858
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50018625
PASSPORT
KY
05
7100040790
KY
Enumeration date
02/22/2007
Last updated
12/08/2020
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