Individual
KENNETH V BRUMMEL-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4449 MEANDERING WAY, FSU SENIORHEALTH AT WOK, TALLAHASSEE, FL 32308-5740
(850) 644-1543
(850) 645-0577
Mailing address
1115 W CALL ST, SUITE 1121C, TALLAHASSEE, FL 32306-4300
(850) 645-9350
(850) 645-0577
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME89569
FL
Other
Enumeration date
08/22/2005
Last updated
12/14/2016
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