Individual
BRANDON J. KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
65 MARIO CAPECCHI DR SALT LAKE CITY UT 84132, SALT LAKE CITY, UT 84132-0001
(801) 581-2352
Mailing address
65 MARIO CAPECCHI DR SALT LAKE CITY UT 84132, SALT LAKE CITY, UT 84132-0001
(801) 581-2352
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12439653-1205
UT
Other
Enumeration date
04/20/2020
Last updated
03/19/2024
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