Basic Information
| Provider Information | |||||||||
| NPI: | 1740514611 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BROWNING | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | DAVID | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | II | ||||||||
| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2425 REGENCY RD | ||||||||
| Address2: | SUITE A | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405032948 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592778179 | ||||||||
| FaxNumber: | 8592779320 | ||||||||
| Practice Location | |||||||||
| Address1: | 2425 REGENCY RD | ||||||||
| Address2: | SUITE A | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405032948 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592778179 | ||||||||
| FaxNumber: | 8592779320 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2009 | ||||||||
| LastUpdateDate: | 09/25/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | PA297 | KY | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.