Individual
DR. BRIAN JOSEPH KENNERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 450-4860
(910) 450-4865
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 450-4860
(910) 450-4865
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101254507
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/23/2012
Last updated
07/13/2022
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