Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ron Brisbon Sr.

Individual provider Prosthetics Case Management · NPI 1790494581

Ron Brisbon Sr. is a Prosthetics Case Management in Paducah, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2022

Practice location Address checks out

1034 N 13th St
Paducah, KY 42001-7061
Phone: (270) 366-2642
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X (KY)

Record details

NPI number1790494581
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 21, 2022
Last updated in NPPESNovember 21, 2022
Certification dateNovember 20, 2022
Mailing address1034 N 13th St, Paducah, KY 42001-7061

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