Individual
KEVIN J BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6727 PARKER FARM DRIVE, WILMINGTON, NC 28405
(910) 341-3300
(910) 251-2067
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3300
(910) 341-3321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
201752
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110184493
RAILROAD MEDICARE
NC
01
—
18168
BCBS NC
NC
05
—
8918168
—
NC
Enumeration date
08/20/2006
Last updated
01/31/2019
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