Brantley, Kenneth M
Brantley, Kenneth M is an individual health care provider with primary practice located at 1801 N Senate Blvd Ste 230, Indianapolis IN 46202-1252. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Brantley, Kenneth M can be contacted via phone (317) 962-5820.Contact Information
Primary practice address
1801 N Senate Blvd Ste 230
Indianapolis IN 46202-1252
Phone: (317) 962-5820
Fax: (317) 962-3916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 6726 | Nevada |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 6726 | Nevada |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01071672A | Indiana |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01071672A | Indiana |
Profile Details
| NPI number | 1609825017 |
|---|---|
| LBN Legal business name | Brantley, Kenneth M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Feb 7th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609825017 | NPPES |
| Nevada | MEDICAID | 2019408 | |
| Nevada | MEDICAID | 201165820 |
Popular Providers
-
Ackerman, Bruce M
7120 Clearvista Dr Ste 2100, Indianapolis IN 46256-1621 -
Cardillo, Richard C
8050 Township Line Rd , Indianapolis IN 46260-2478 -
Singh, Deovrat
1402 E County Line Rd Suite 2400, Indianapolis IN 46227-0963 -
Yang, Karl L
714 N Senate Ave , Indianapolis IN 46202-3763 -
Roe, David W
1801 N Senate Blvd Suite 230, Indianapolis IN 46202-1252 -
Bortenschlager, Lawrence J
1801 Senate Blvd Suite 230, Indianapolis IN 46202-1252 -
Simala, Jon R
8333 Naab Rd Ste 250 , Indianapolis IN 46260-1983 -
Buran, Michael J
8450 N Payne Rd Ste 100 , Indianapolis IN 46268-6621