Brandon Wray
Student in an Organized Health Care Education/Training Program in Glasgow, KY. Individual provider (NPI-1).
NPI number1154716751
StatusActive
Last updated in NPPESApr 8, 2015
Details
- NPI
- 1154716751
- Entity type
- Individual (NPI-1)
- Name
- Brandon Wray
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 31, 2015
- Last updated
- Apr 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1325 N Race StGlasgow, KY 42141-3454
Phone 270-651-4865
Mailing address
535 Oakland CirPaducah, KY 42003-8921
Phone 270-564-2767
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All 19 Student in an Organized Health Care Education/Training Program providers in Glasgow · All 832 providers in Glasgow
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