Organization
BRYAN K. DENNETT, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN K. DENNETT M.D. (OWNER)
(620) 221-9500
Entity
Organization
Contact information
Practice address
1305 E 19TH AVE, WINFIELD, KS 67156-5201
(620) 221-9500
(620) 221-4020
Mailing address
1305 E 19TH AVE, WINFIELD, KS 67156-5201
(620) 221-9500
(620) 221-4020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4027010
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100298390D
—
KS
01
—
110819
BC/BS OF KANSAS
KS
01
—
665220
FIRSTGUARD INSURANCE
KS
Enumeration date
08/18/2006
Last updated
08/29/2011
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