| Doctor Name: | MR. JOHN MICHAEL BRISLIN |
| NPI Number: | 1477553469 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | B.PHARM.,RPH, FIAIHC |
| License Number: | 8002 |
| Business Practice Address: | 1096 Duval St Suite J Lexington, KY - 405156219 |
| Business Phone Number: | 8592718677 |
| Business Fax Number: | 8668618841 |
| Mailing Address: | Po Box 25163, LEXINGTON |
| State: | KY |
| Postal Code: | 405245163 |
| Phone Number: | 8592718677 |
| Fax Number: | 8668618841 |
| NPI Enumeration Date: | 07/31/2005 |
| NPI Last Update Date: | 01/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 8002 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |