Kendregan, Brian A.

Kendregan, Brian A. is an individual health care provider with primary practice located at 1400 E. Kincaid St. , Mount Vernon WA 98274. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Kendregan, Brian A. can be contacted via phone (360) 428-2586.

Contact Information

Primary practice address
1400 E. Kincaid St. Mount Vernon WA 98274
Phone: (360) 428-2586
Fax: (360) 428-6470
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD14316 Oregon
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD00047370 Washington

Profile Details

NPI number 1841295870
LBN Legal business name Kendregan, Brian A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jan 11th, 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 1841295870 NPPES
Oregon MEDICAID 198234
Oregon Other 263567

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