Healthcare Provider Details

I. General information

NPI: 1275705014
Provider Name (Legal Business Name): BRANDI HUNLEY DYER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRANDI JO HUNLEY M.D.

II. Dates (important events)

Enumeration Date: 04/01/2008
Last Update Date: 03/15/2021
Certification Date: 03/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2008 MERCHANT DR STE 11
RICHMOND KY
40475-8189
US

IV. Provider business mailing address

9800 SHELBYVILLE RD SUITE #220
LOUISVILLE KY
40223-2992
US

V. Phone/Fax

Practice location:
  • Phone: 859-575-4011
  • Fax: 855-656-7325
Mailing address:
  • Phone: 502-429-8585
  • Fax: 855-656-7325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number46076
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number46076
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: