Brent Duane King

NPI 1225344773 - Contractor - 171WH0202X

NPI Details
NPI 1225344773
Gender Male
Enumeration Date 08/22/2010
Last Updated 08/22/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
12884 S 600 W
HANNA IN, 46340-9788, US
Phone (219) 405-8509
Fax (219) 733-2561
Business Location
12884 S 600 W
HANNA IN, 46340-9788, US
Phone (219) 405-8509
Fax (219) 733-2561
Toxanomy
Taxonomy Code 171WH0202X
License State Indiana
License Number 8960520176
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According to our database, Brent Duane King NPI is 1225344773, taxonomy code is 171WH0202X and license number is 8960520176, license state is located at Indiana. Brent Duane King physically located at 12884 S 600 W, Hanna IN, 46340-9788. NPI Number Brent Duane King has the Individual type.

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1225344773 NPI number is provided on an as is basis without warranty of any kind. 1225344773 is maintained by the National Plan & Provider Enumeration System. The contents of Brent Duane King are for informational purposes only.