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Dr. Tanner Paul Brondhaver, DO
Student in an Organized Health Care Education/Training Program in Morehead, Kentucky
NPI 1013597608

Tanner Paul Brondhaver is a Student in an Organized Health Care Education/Training Program based in Morehead, KY. Tanner Paul Brondhaver practices in Morehead, KY and has the professional credentials of DO. The NPI Number for Tanner Paul Brondhaver is 1013597608 and holds a License No. (Kentucky).

The current practice location address for Tanner Paul Brondhaver is 222 Medical Cir, Morehead, KY and can be reached out via phone at 606-783-6455 and via fax at 606-784-2767. You can also correspond with Tanner Paul Brondhaver through the mailing address at 222 MEDICAL CIR, MOREHEAD, KY - 40351-1179 (mailing address contact number: 606-783-6455).

Location: 222 Medical Cir, Morehead, KY, 40351-1179
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013597608
Provider Name
Tanner Paul Brondhaver
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
222 Medical Cir, Morehead, KY, 40351-1179
Phone Number
606-783-6455
Fax Number
606-784-2767
Provider Enumeration Date
04/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
222 Medical Cir
City
Morehead
State
Kentucky
Zip
40351-1179
Phone Number
606-783-6455
Fax Number
606-784-2767
person
Provider Business Mailing Address Details
Address
222 Medical Cir
City
Morehead
State
Kentucky
Zip
40351-1179
Phone Number
606-783-6455
Fax Number
606-784-2767
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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