Brennan, Kathleen Marie
Brennan, Kathleen Marie is an individual health care provider with primary practice located at 1245 16Th St Ste 202 , Santa Monica CA 90404-1240. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Reproductive Endocrinology is her primary health care specialty. Brennan, Kathleen Marie can be contacted via phone (310) 794-7274.Contact Information
Primary practice address
1245 16Th St Ste 202
Santa Monica CA 90404-1240
Phone: (310) 794-7274
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | A94984 | California |
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | A94984 | California |
Profile Details
| NPI number | 1306033741 |
|---|---|
| LBN Legal business name | Brennan, Kathleen Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2007 |
| Last updated | Sep 20th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306033741 | NPPES |
| California | MEDICAID | 00A949840 |
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