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Individual

MICHAEL BRENNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
303 W WALNUT ST, LEBANON, KY 40033-1344
(270) 692-2652
(270) 692-6099
Mailing address
303 W WALNUT ST, LEBANON, KY 40033-1344
(270) 692-2652
(270) 692-6099

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4871
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
85003184
KY
Enumeration date
04/05/2006
Last updated
01/08/2008
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