David Lawrence Brabon
Plastic and Reconstructive Surgery
140 Newcomb Ave
Mount Vernon
, Kentucky 40456-2728
David Lawrence Brabon
Plastic and Reconstructive Surgery
140 Newcomb Ave
Mount Vernon
, Kentucky 40456-2728
(606) 256-4148
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- David Lawrence Brabon
- Po Box 869
- Mount Vernon, KY
- Zip : 40456-0869
- Phone : (606) 256-4148
Second Address
- David Lawrence Brabon
- 140 Newcomb Ave
- Mount Vernon, KY
- Zip : 40456-2728
- Phone : (606) 256-4148
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 17410 | KY |
National Provider Identifier
| NPI | 1235280579 |
|---|---|
| Provider Name | David Lawrence Brabon |
| First Address | Mount Vernon, KY 40456-0869 |
| Second Address | Mount Vernon, KY 40456-2728 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/01/2007 |
| Last Update Date | 05/12/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000039562 | ANTHEM BC BS (01) | |
| 1300124 | DEPT OF LABOR (01) | KY |
| 17410 | MEDICAL LICENSE (01) | KY |
| 240007115 | RAIL ROAD MEDICARE (01) | KY |
| 61-1350713 | TAX ID (01) | |
| 64174105 | (05) | KY |
| 88178 | CHA (01) | |
| AB7114666 | DEA (01) | KY |
| C73989 | (02) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.