Breniman, Kevin D.
Breniman, Kevin D. is an individual health care provider with primary practice located at 1 Lile Ct Suite 200, Little Rock AR 72205-6242. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Breniman, Kevin D. can be contacted via phone (501) 224-5500.Contact Information
Primary practice address
1 Lile Ct Suite 200
Little Rock AR 72205-6242
Phone: (501) 224-5500
Fax: (501) 224-1166
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207VC0200X | E4508 | Arkansas |
Profile Details
NPI number | 1659348498 |
---|---|
LBN Legal business name | Breniman, Kevin D. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 1st, 2006 |
Last updated | Apr 13th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659348498 | NPPES |
Arkansas | MEDICAID | 164159001 | |
Arkansas | Other | 710491322 | |
Arkansas | Other | 0508812700 | |
Arkansas | Other | 7136217 | |
Arkansas | Other | 734687 |
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