Blair, Bryan M

Blair, Bryan M is an individual health care provider with primary practice located at 6400 Westwind Way , Crestwood KY 40014-6773. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Blair, Bryan M can be contacted via phone (502) 243-2227.

Contact Information

Primary practice address
6400 Westwind Way Crestwood KY 40014-6773
Phone: (502) 243-2227
Fax: (502) 243-2237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35792 Kentucky
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X BB6817196 Kentucky

Profile Details

NPI number 1417945478
LBN Legal business name Blair, Bryan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jun 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417945478 NPPES
Kentucky Other P00041810 MEDICARE RAILROAD
Kentucky Other 1177630003 MEDICARE RAILROAD
Kentucky MEDICAID 300050706 MEDICARE RAILROAD
Kentucky MEDICAID 64066624 MEDICARE RAILROAD

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