Individual
DR. VAIL M BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017
(859) 344-1600
(859) 344-0091
Mailing address
2300 CHAMBER CENTER DR STE 300, LAKESIDE PARK, KY 41017-1686
(859) 344-3945
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04179
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0237674
—
OH
05
—
7100499880
—
KY
Enumeration date
10/15/2011
Last updated
05/16/2018
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