Provider Demographics
NPI:1295700433
Name:COLLINS, BRANDI LEMASTER (DO)
Entity type:Individual
Prefix:DR
First Name:BRANDI
Middle Name:LEMASTER
Last Name:COLLINS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:BRANDI
Other - Middle Name:
Other - Last Name:LEMASTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 2379
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41105-2379
Mailing Address - Country:US
Mailing Address - Phone:606-408-9571
Mailing Address - Fax:606-480-6061
Practice Address - Street 1:336 N MAYO TRL
Practice Address - Street 2:
Practice Address - City:PAINTSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41240-1804
Practice Address - Country:US
Practice Address - Phone:606-789-8666
Practice Address - Fax:606-788-0253
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY02931207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine