Individual
KIM M BRANDAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 WILLIAMS WAY, MOAB, UT 84532-2185
(714) 772-6701
(714) 772-5240
Mailing address
450 WILLIAMS WAY, MOAB, UT 84532-2185
(714) 772-6701
(714) 772-5240
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
9740645-1205
UT
208C00000X
Colon & Rectal Surgery Physician
Primary
CDRH.0067428
CO
208C00000X
Colon & Rectal Surgery Physician
MED-PHYS-LIC-44797
MT
208D00000X
General Practice Physician
9740645-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0000190
—
CA
Enumeration date
06/27/2006
Last updated
03/31/2026
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