Individual
DR. BRENT MICHAEL KIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNIVERSITY HOSPITAL 50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(805) 657-0889
Mailing address
3031 FRONTIER AVE, THOUSAND OAKS, CA 91360-1008
(805) 657-0889
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
8406655-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2011
Last updated
11/03/2021
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