Individual
DR. JEFFREY NICHOLAS BRENTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
(765) 456-5433
Mailing address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02006749A
IN
Other
Enumeration date
05/27/2018
Last updated
03/15/2024
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