Provider Demographics
NPI:1457984494
Name:BRUMLEY, PATRICIA KAY
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:KAY
Last Name:BRUMLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:KAY
Other - Last Name:LEVITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:90 SOUTHPORT DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1819
Mailing Address - Country:US
Mailing Address - Phone:859-227-5614
Mailing Address - Fax:
Practice Address - Street 1:90 SOUTHPORT DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1819
Practice Address - Country:US
Practice Address - Phone:859-227-5614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1158116163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse