Brantley, Kenny M

Brantley, Kenny M is an individual health care provider with primary practice located at 1215 S Coulter St Ste 405, Amarillo TX 79106-1758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Brantley, Kenny M can be contacted via phone (806) 358-8437.

Contact Information

Primary practice address
1215 S Coulter St Ste 405 Amarillo TX 79106-1758
Phone: (806) 358-8437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X J8472 Texas

Profile Details

NPI number 1255408936
LBN Legal business name Brantley, Kenny M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255408936 NPPES
Texas MEDICAID 046844901

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