| Doctor Name: | BRENDA ELLEN KENTNER |
| NPI Number: | 1356644025 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, WCC |
| License Number: | 28304 |
| Business Practice Address: | 682 Lancaster Lane Afton, WY - 83110 |
| Business Phone Number: | 5094490141 |
| Business Fax Number: | |
| Mailing Address: | 682 Lancaster Lane, Po Bx 663 AFTON |
| State: | WY |
| Postal Code: | 83110 |
| Phone Number: | 5094490141 |
| Fax Number: | |
| NPI Enumeration Date: | 12/17/2010 |
| NPI Last Update Date: | 12/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0000X |
| License Number: | 28304 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Wound Care |
| Taxonomy Definition: | |