Kenneth Bren Tegtmeyer
Pediatric Critical Care Doctor
3333 Burnet Ave Ml 2005
Cincinnati
, Ohio 45229-3026
Kenneth Bren Tegtmeyer
Pediatric Critical Care Doctor
3333 Burnet Ave Ml 2005
Cincinnati
, Ohio 45229-3026
(513) 636-4225
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Kenneth Bren Tegtmeyer
- 3333 Burnet Ave Ml 2005
- Cincinnati, OH
- Zip : 45229-3026
- Phone : (513) 636-4225
Second Address
- Kenneth Bren Tegtmeyer
- 3333 Burnet Ave Ml 2005
- Cincinnati, OH
- Zip : 45229-3026
- Phone : (513) 636-4225
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0203X | Pediatric Critical Care Doctor | MD22826 | OR |
National Provider Identifier
| NPI | 1265447767 |
|---|---|
| Provider Name | Kenneth Bren Tegtmeyer |
| First Address | Cincinnati, OH 45229-3026 |
| Second Address | Cincinnati, OH 45229-3026 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2006 |
| Last Update Date | 21/07/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 287962 | (05) | OR |
| G47534 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.