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Individual

BRENT A PLUMMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN, MSN, PMHNP-BC

Contact information

Practice address
334 THOMAS MORE PARKWAY, CRESTVIEW HILLS, KY 41017
(859) 301-5901
(859) 301-5940
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-5901
(859) 301-5940

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3012754
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3012754
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100564130
KY
Enumeration date
06/13/2018
Last updated
03/28/2023
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