Keenportz, Brent Wayne
Keenportz, Brent Wayne is an individual health care provider with primary practice located at 2620 W Faidley Ave , Grand Island NE 68803-4205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Keenportz, Brent Wayne can be contacted via phone (308) 398-5424.Contact Information
Primary practice address
2620 W Faidley Ave
Grand Island NE 68803-4205
Phone: (308) 398-5424
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 19924 | Nebraska |
Profile Details
| NPI number | 1912026790 |
|---|---|
| LBN Legal business name | Keenportz, Brent Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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