Kerry Redding Brantly in Hurlburt Field - General Practice

Kerry Redding Brantly - NPI 1891800942

Kerry Redding Brantly is a General Practice in Hurlburt Field, Florida. Kerry Redding Brantly practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kerry Redding Brantly is 1891800942. The last update date is 2007-07-08.

Kerry Redding Brantly's current location address is 113 Lielmanis Ave, Hurlburt Field, Florida. You can contact this provider via phone number 8508812337 and fax number 8508812323. The mailing address for Kerry Redding Brantly is 113 Lielmanis Ave, Hurlburt Field, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kerry Redding Brantly
Address 113 Lielmanis Ave, Hurlburt Field, Florida
Phone Number 8508812337
Fax Number 8508812323
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1891800942
Provider Enumeration Date 2006-08-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 113 Lielmanis Ave
City Hurlburt Field
State Florida (FL)
Post Code 325445613
Phone Number 8508812337
Fax Number 8508812323

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2901019216
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Kerry Redding Brantly

What is the unique identification code assigned to Kerry Redding Brantly by the Centers for Medicare & Medicaid Services?

The Kerry Redding Brantly has been issued the NPI (National Provider Identifier) 1891800942. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Kerry Redding Brantly is physically located?

The Kerry Redding Brantly is situated at the following address: 113 Lielmanis Ave, Hurlburt Field, FL 325445613.

What is Kerry Redding Brantly's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kerry Redding Brantly is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

When did Kerry Redding Brantly receive its 1891800942 assignment?

The Kerry Redding Brantly was assigned its 1891800942 on 2006-08-20, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Kerry Redding Brantly, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kerry Redding Brantly, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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