Provider Demographics
NPI:1265758627
Name:VANFRANK, BRENNA KELLEY (MD, MSPH)
Entity type:Individual
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First Name:BRENNA
Middle Name:KELLEY
Last Name:VANFRANK
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Gender:F
Credentials:MD, MSPH
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Mailing Address - Street 1:4770 BUFORD HWY NE
Mailing Address - Street 2:MAIL STOP F-77, DIVISION OF NUTRITION
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341
Mailing Address - Country:US
Mailing Address - Phone:770-488-5609
Mailing Address - Fax:770-488-5369
Practice Address - Street 1:4770 BUFORD HWY NE
Practice Address - Street 2:MAIL STOP F-77, DIVISION OF NUTRITION
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341
Practice Address - Country:US
Practice Address - Phone:770-488-5609
Practice Address - Fax:770-488-5369
Is Sole Proprietor?:No
Enumeration Date:2010-04-10
Last Update Date:2014-08-18
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Provider Licenses
StateLicense IDTaxonomies
NMMD2013-0108208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics