Individual
BRIAN JOSEPH JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 W 1ST ST, SAINT FRANCIS, KS 67756-3540
(785) 332-2104
(785) 332-3255
Mailing address
180 FORD RD, JOHN DAY, OR 97845-2009
(541) 575-0404
(541) 575-1124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-41177
KS
207Q00000X
Family Medicine Physician
MD201060
OR
207Q00000X
Family Medicine Physician
TL0005731
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30005022790001
—
KS
Enumeration date
06/01/2015
Last updated
10/23/2024
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