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Individual

KEVIN D. BRENIMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 LILE CT, SUITE 200, LITTLE ROCK, AR 72205-6242
(501) 224-5500
(501) 224-1166
Mailing address
1 LILE CT, SUITE 200, LITTLE ROCK, AR 72205-6242
(501) 224-5500
(501) 224-1166

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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