Individual
DR. KENNETH C BREWINGTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 WEST BROADWAY STREET, SUITE 310, MISSOULA, MT 59802-4012
(406) 728-6520
(406) 329-2936
Mailing address
500 WEST BROADWAY STREET, SUITE 310, MISSOULA, MT 59802-4012
(406) 728-6520
(406) 329-2936
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
9721
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035763
—
MT
Enumeration date
09/09/2005
Last updated
02/29/2008
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