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Brent King
NPI 1225344773 · on the registry since 2010 · sole proprietor
Practice
- Address
- 12884 S 600 W
Hanna, IN 46340 - Phone
- (219) 405-8509
- Fax
- (219) 733-2561
Registry record
- Primary taxonomy
- Home Modifications Contractor
171WH0202X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-08-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana