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Individual

BRENDAN COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
4900 HOUSTON RD, FLORENCE, KY 41042-4824
(859) 331-6466
(859) 344-7930
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-5555
(859) 344-5552

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.013832
OH
207R00000X
Internal Medicine Physician
58.007541
OH
207RG0100X
Gastroenterology Physician
Primary
05548
KY
208M00000X
Hospitalist Physician
34.013832
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2565399
OH
Enumeration date
04/08/2016
Last updated
07/14/2023
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