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BRENDA L. BRUCE KCSA NPI 1043399082


NPI Information

NPI: 1043399082
Provider Name: BRENDA L. BRUCE, KCSA
Classification: - 246ZS0400X
Entity Type: Individual
Address:
200 CLINIC DR
MADISONVILLE, KY
ZIP 42431
Phone: (270) 825-7200
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Brenda L. Bruce, KCSA is a healthcare provider in Madisonville, KY. Brenda L. Bruce, KCSA NPI is 1043399082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 CLINIC DR
MADISONVILLE, KY
ZIP 42431-661
Phone: (270) 825-7200

The enumeration date for this NPI number is 11/2/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1246ZS0400XSA006KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SA006OTHERKENTUCKYLICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.