Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 005906 | KY |
N | 2251E1300X | Electrophysiology, Clinical | 005906 | KY |
NPI | 1811269384 |
---|---|
Provider Name | Braden D Plowman |
First Address | Richmond, KY 40475-8322 |
Second Address | Paris, KY 40361-1370 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2012 |
Last Update Date | 09/01/2019 |