| Doctor Name: | MRS. BRIANAH LESLIE DOEDEN |
| NPI Number: | 1841211356 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 4332P |
| Business Practice Address: | 2400 W G Talley Rd Alvaton, KY - 42122 |
| Business Phone Number: | 2709918674 |
| Business Fax Number: | 2705984068 |
| Mailing Address: | 2400 W G Talley Rd, ALVATON |
| State: | KY |
| Postal Code: | 42122 |
| Phone Number: | 2709918674 |
| Fax Number: | 2705984068 |
| NPI Enumeration Date: | 07/21/2006 |
| NPI Last Update Date: | 02/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4332P |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |