DR. Jerry W Brackett, M.D.

NPI #1033165394 in Berea, Kentucky

Provider Information

NPI Number: 1033165394
Entity Type: Individual
Name: DR. Jerry W Brackett, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: May 26, 2006
Last Updated: Jun 15, 2009

Practice Location

Address: 607 CHESTNUT ST
City: Berea
State: Kentucky
ZIP Code: 40403-1514
Phone: (859) 582-9331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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