Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 00474 | KY |
NPI | 1003228230 |
---|---|
Provider Name | Dr. Bryan Harmon |
First Address | Lexington, KY 40504-1792 |
Second Address | Lexington, KY 40504-1792 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2014 |
Last Update Date | 23/05/2017 |