Individual provider · NPI-1

Jennifer L. Brull, M.D.

Family Medicine · Plainville, KS

NPI number1841303807
StatusActive
Last updated in NPPESJul 22, 2014

Details

NPI
1841303807
Entity type
Individual (NPI-1)
Name
Jennifer L. Brull
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 16, 2006
Last updated
Jul 22, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine04-28262KSYes

Practice location

1210 N Washington
Plainville, KS 67663-1632

Phone 785-434-2622 · Fax 785-434-2577

Mailing address

1210 N Washington
Plainville, KS 67663-1632

Phone 785-434-2622 · Fax 785-434-2577

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