Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 24493 | KY |
NPI | 1043481138 |
---|---|
Provider Name | Dr. Paranita Sherard Bratton |
First Address | Louisville, KY 40211-1969 |
Second Address | Louisville, KY 40211-1969 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2008 |
Last Update Date | 17/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F13245 | (02) | KY |