Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 3006677 | KY |
N | 363LP2300X | Nurse Practitioner - Primary Care | 3006677 | KY |
NPI | 1083912141 |
---|---|
Provider Name | Brandy Lee Akers |
First Address | Lexington, KY 40503-1827 |
Second Address | Lexington, KY 40503-1827 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2011 |
Last Update Date | 22/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100176560 | (05) | KY |