Dodge, Kenneth Brenton

Dodge, Kenneth Brenton is an individual health care provider with primary practice located at 1950 Downs Blvd Ste 102 , Franklin TN 37064-1562. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dodge, Kenneth Brenton can be contacted via phone (615) 435-7780.

Contact Information

Primary practice address
1950 Downs Blvd Ste 102 Franklin TN 37064-1562
Phone: (615) 435-7780
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD0000017056 Tennessee

Profile Details

NPI number 1417951302
LBN Legal business name Dodge, Kenneth Brenton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Mar 14th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417951302 NPPES
Tennessee MEDICAID 3021233
Tennessee Other 3132242
Tennessee Other 0140590
Tennessee Other 8822511
Tennessee Other 4295507

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