Healthcare Provider Details

I. General information

NPI: 1992912166
Provider Name (Legal Business Name): SCOTTIE BRIAN DAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 09/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE ST MN 462
LEXINGTON KY
40536-0001
US

IV. Provider business mailing address

800 ROSE ST MN 462
LEXINGTON KY
40536-0001
US

V. Phone/Fax

Practice location:
  • Phone: 859-257-5522
  • Fax:
Mailing address:
  • Phone: 859-257-5522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number44404
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number15615
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: