Provider Demographics
NPI:1437441953
Name:DANIELS, BRIAN PATRICK (DO)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:PATRICK
Last Name:DANIELS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5425 N MAYO TRL STE 201
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-2965
Mailing Address - Country:US
Mailing Address - Phone:606-432-0191
Mailing Address - Fax:606-432-0111
Practice Address - Street 1:5425 N MAYO TRL STE 201
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501
Practice Address - Country:US
Practice Address - Phone:606-432-0191
Practice Address - Fax:606-432-0111
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-03
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY03690207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine