# BRANDON LYNN KENTOPP

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679176051
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | 209.022117 | IL | — |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | APN.0997291-NP | CO | Yes |

## Other

- **Enumeration date:** 11/18/2020
- **Last updated:** 04/27/2022
