Bryan J. Kellenberger in Springfield - Family Medicine

Bryan J. Kellenberger - NPI 1275733073

Bryan J. Kellenberger is a Family Medicine in Springfield, Illinois. Bryan J. Kellenberger practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bryan J. Kellenberger is 1275733073. The last update date is 2020-05-21.

Bryan J. Kellenberger's current location address is 1025 S 6th St, Springfield, Illinois. You can contact this provider via phone number 2175287541 and fax number 2175250044. The mailing address for Bryan J. Kellenberger is 1025 S 6th St, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Bryan J. Kellenberger
Address 1025 S 6th St, Springfield, Illinois
Phone Number 2175287541
Fax Number 2175250044
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1275733073
Provider Enumeration Date 2007-07-19
Last Updated Date 2020-05-21

Provider Mailing Address Detail

Address 1025 S 6th St
City Springfield
State Illinois (IL)
Post Code 627032403
Phone Number 2175287541
Fax Number 2175250044

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 36125353
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36125353 IL --

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FAQs about Bryan J. Kellenberger

What is the Bryan J. Kellenberger's 1275733073?

The Bryan J. Kellenberger's NPI (National Provider Identifier) Number is 1275733073. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Bryan J. Kellenberger is physically located?

The Bryan J. Kellenberger is situated at the following address: 1025 S 6Th St, Springfield, IL 627032403.

What is Bryan J. Kellenberger's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Bryan J. Kellenberger is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1275733073 to Bryan J. Kellenberger?

The Bryan J. Kellenberger received its 1275733073 assignment from the Centers for Medicare & Medicaid Services on 2007-07-19.

As of what date was the information regarding Bryan J. Kellenberger, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Bryan J. Kellenberger, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-05-21.

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