Vandenberg, Brian Keith

Vandenberg, Brian Keith is an sole proprietor health care provider with primary practice located at 14073 State Highway Nn , Kennett MO 63857-8329. He recently has 3 registered licenses in different health care specialties including Suppliers / Nursing Facility Supplies, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Vandenberg, Brian Keith can be contacted via phone (805) 403-7075.

Contact Information

Primary practice address
14073 State Highway Nn Kennett MO 63857-8329
Phone: (805) 403-7075
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Nursing Facility Supplies 332BN1400X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 139604 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5374997032 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1427381623 Missouri

Profile Details

NPI number 1427381623
LBN Legal business name Vandenberg, Brian Keith
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2009
Last updated Feb 21st, 2022 - about 2 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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