Individual
KEVIN D. BRENIMAN
Active
Individual
KEVIN D. BRENIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
E4508
AR
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
E4508
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0508812700
QUALCHOICE
CA
05
—
164159001
—
AR
01
—
710491322
UNITED HEALTHCARE
AR
01
—
7136217
AETNA
AR
01
—
734687
HEALTHLINK
AR
Enumeration date
03/01/2006
Last updated
06/24/2025
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