Individual
JOSEPH J BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
529 CAPP HARLAN RD, TOMPKINSVILLE, KY 42167-1808
(270) 487-9231
(270) 487-6033
Mailing address
PO BOX 1959, OWENSBORO, KY 42302-1959
(812) 471-1591
(812) 471-6650
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36318
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000188849
ANTHEM
KY
05
—
64028939
—
KY
Enumeration date
06/01/2006
Last updated
10/22/2008
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