Brennan, Kevin Christopher

Brennan, Kevin Christopher is an individual health care provider with primary practice located at 175 N Medical Dr E Room 5520, Salt Lake City UT 84132-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Brennan, Kevin Christopher can be contacted via phone (801) 585-2886.

Contact Information

Primary practice address
175 N Medical Dr E Room 5520 Salt Lake City UT 84132-0001
Phone: (801) 585-2886
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A80696 California

Profile Details

NPI number 1134144066
LBN Legal business name Brennan, Kevin Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Oct 28th, 2021 - about 5 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 1134144066 NPPES
California MEDICAID 00A806960

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