Provider Demographics
NPI:1497045819
Name:BROWN, CADY MAYHEW (MD)
Entity Type:Individual
Prefix:DR
First Name:CADY
Middle Name:MAYHEW
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CADY
Other - Middle Name:MAYHEW
Other - Last Name:BLACKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:535 W SECOND ST STE 101
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40508-1275
Mailing Address - Country:US
Mailing Address - Phone:859-687-6595
Mailing Address - Fax:859-403-3015
Practice Address - Street 1:1401 HARRODSBURG RD
Practice Address - Street 2:STE B 160
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3751
Practice Address - Country:US
Practice Address - Phone:859-276-4486
Practice Address - Fax:859-277-9164
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY48469207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100382770Medicaid
KY48469OtherLICENSE
KY48469OtherLICENSE