NPI 1598161127

Carol Brenner, RDH

Practitioner Dental Hygienist Louisville, KY

Practice location

Address: 3312 Ellis Way, Louisville, KY 40220-1944
Phone: (502) 458-9420

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 0900 (KY)

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Registry record

NPI: 1598161127
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Nov 2014
Record last updated: 10 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.