Breniman, Kevin D.

Breniman, Kevin D. is an individual health care provider with primary practice located at 1 Lile Ct Suite 200, Little Rock AR 72205-6242. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Breniman, Kevin D. can be contacted via phone (501) 224-5500.

Contact Information

Primary practice address
1 Lile Ct Suite 200 Little Rock AR 72205-6242
Phone: (501) 224-5500
Fax: (501) 224-1166
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207VC0200X E4508 Arkansas

Profile Details

NPI number 1659348498
LBN Legal business name Breniman, Kevin D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Apr 13th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659348498 NPPES
Arkansas MEDICAID 164159001
Arkansas Other 710491322
Arkansas Other 0508812700
Arkansas Other 7136217
Arkansas Other 734687

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