Healthcare Provider Details

I. General information

NPI: 1295832681
Provider Name (Legal Business Name): SHERRRY SUE BRUMLEY PSC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 SADDLEBROOK GARDEN HOMES RD
LONDON KY
40744-8226
US

IV. Provider business mailing address

46 SADDLEBROOK GARDEN HOMES RD
LONDON KY
40744-8226
US

V. Phone/Fax

Practice location:
  • Phone: 606-862-2749
  • Fax: 606-862-2749
Mailing address:
  • Phone: 606-862-2749
  • Fax: 606-862-2749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: