NPI 1033165394

Jerry W Brackett, MD

Practitioner General Practice Physician Berea, KY

Practice location

Address: 607 Chestnut St, Berea, KY 40403-1514
Phone: (859) 582-9331
Fax: (606) 789-5600

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 14390 (KY)

Other General Practice providers in Kentucky →

Registry record

NPI: 1033165394
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 May 2006
Record last updated: 15 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.