DR. Kevin Bruce Brantley, O.D.

NPI #1720123490 in Deland, Florida

Provider Information

NPI Number: 1720123490
Entity Type: Individual
Name: DR. Kevin Bruce Brantley, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1699 N WOODLAND BLVD
City: Deland
State: Florida
ZIP Code: 32720-1803
Phone: (386) 734-2240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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