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Individual
BROOKS BRENDEN KELLY
Active
Individual
BROOKS BRENDEN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
14265845-1205
UT
2086S0122X
Plastic and Reconstructive Surgery Physician
0116032687
VA
2086S0122X
Plastic and Reconstructive Surgery Physician
V6040
TX
Other
Enumeration date
05/02/2019
Last updated
09/17/2026
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