KENT BRANDEBERRY

LIMA, OH
NPI1629164728
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OH  34.011107)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IN  02003466A)
Enumeration Date2006-10-05
Last Update Date2013-10-15
Business Address
-- KENT BRANDEBERRY D.O.
3224 JARVIS DR
LIMA, OH 45807
Phone number: 419-996-5757
Mailing Address
-- KENT BRANDEBERRY D.O.
PO BOX 636930
CINCINNATI, OH 45263-6930
Phone number: 513-981-5123