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Search › Kentucky › 101YM0800X

Keith Brockman

NPI 1548301286 · on the registry since 2007

Practice

Address
3161 Custer Dr
Lexington, KY 40517
Phone
(859) 253-1686
Fax
(859) 254-2743
Organisation at this address
Bluegrass Mental Health And Mental Retardation Board
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky