Individual
JENNIFER L. BRULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1210 N WASHINGTON, PLAINVILLE, KS 67663-1632
(785) 434-2622
(785) 434-2577
Mailing address
1210 N WASHINGTON, PLAINVILLE, KS 67663-1632
(785) 434-2622
(785) 434-2577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-28262
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100376880C
—
KS
Enumeration date
08/16/2006
Last updated
07/22/2014
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