Individual
KELLY M BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
701 TH AVE NW, SUITE B, ABERDEEN, SD 57401
(605) 225-0430
(605) 225-0876
Mailing address
PO BOX 1460, ABERDEEN, SD 57402-1460
(605) 225-0430
(605) 225-0876
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0995
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5831900
—
SD
Enumeration date
06/20/2005
Last updated
05/10/2016
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