Individual
BRENDA ELLEN KENTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, WCC
Contact information
Practice address
682 LANCASTER LANE, AFTON, WY 83110
(509) 449-0141
Mailing address
682 LANCASTER LANE, PO BX 663, AFTON, WY 83110
(509) 449-0141
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
28304
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4140801
NATIONAL ALLIANCE OF WOUND CARE
WY
Enumeration date
12/17/2010
Last updated
12/17/2010
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