Provider Demographics
NPI:1528299690
Name:VALENTINE, BRANDY (DACM)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9717 E 42ND ST STE 130
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146-3677
Mailing Address - Country:US
Mailing Address - Phone:539-250-9959
Mailing Address - Fax:918-928-3606
Practice Address - Street 1:9717 E 42ND ST STE 130
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-3677
Practice Address - Country:US
Practice Address - Phone:187-030-7249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013007120171100000X
171100000X
OK021586171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK263252852OtherTIN
OK1518115468OtherDUNCAN HEALTH & WELLNESS PC NPI