KENT PHILIP BRANTLY

INDIANAPOLIS, IN
NPI1063745768
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01096271A)
Additional Taxonomies207Q00000X Family Medicine
(Licence: TX  P0816)
Enumeration Date2009-09-12
Last Update Date2025-08-05
Business Address
Dr. KENT PHILIP BRANTLY M.D.
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229-2697
Phone number: 317-355-5717
Mailing Address
Dr. KENT PHILIP BRANTLY M.D.
1617 HEMPHILL ST
FORT WORTH, TX 76104-4709
Phone number: 817-702-2396