Provider Demographics
NPI:1386865426
Name:STRENGE, K BRANDON (MD)
Entity Type:Individual
Prefix:DR
First Name:K BRANDON
Middle Name:
Last Name:STRENGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KENNETH
Other - Middle Name:BRANDON
Other - Last Name:STRENGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2605 KENTUCKY AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-3800
Mailing Address - Country:US
Mailing Address - Phone:270-228-3973
Mailing Address - Fax:270-359-5046
Practice Address - Street 1:2605 KENTUCKY AVE STE 102
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-3800
Practice Address - Country:US
Practice Address - Phone:270-228-3973
Practice Address - Fax:270-359-5046
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036126727207XS0117X
KY42721207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100091940Medicaid
KY00973004Medicare PIN