Individual
KEVIN CHRISTOPHER BRENNAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 N MEDICAL DR E, ROOM 5520, SALT LAKE CITY, UT 84132-0001
(801) 585-2886
Mailing address
175 N MEDICAL DR E, ROOM 5520, SALT LAKE CITY, UT 84132-0001
(801) 585-2886
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A80696
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A806960
—
CA
Enumeration date
07/13/2006
Last updated
10/28/2021
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