Individual
KENNY M BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9092 WESTGATE PARKWAY W, STE 405, AMARILLO, TX 79124
(806) 358-8437
Mailing address
9092 WESTGATE PARKWAY W, STE 405, AMARILLO, TX 79124
(806) 358-8437
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
J8472
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046844901
—
TX
Enumeration date
11/29/2006
Last updated
12/02/2025
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