Individual
KENNETH BREN TEGTMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 BURNET AVE, ML 2005, CINCINNATI, OH 45229-3026
(513) 636-4225
Mailing address
3333 BURNET AVE, ML 2005, CINCINNATI, OH 45229-3026
(513) 636-4225
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD22826
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287962
—
OR
Enumeration date
07/31/2006
Last updated
07/21/2008
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