Brennan, Kenneth M
Brennan, Kenneth M is an individual health care provider with primary practice located at 125 S Kalamazoo Mall Suite 204, Kalamazoo MI 49007-4832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Brennan, Kenneth M can be contacted via phone (269) 343-3900.Contact Information
Primary practice address
125 S Kalamazoo Mall Suite 204
Kalamazoo MI 49007-4832
Phone: (269) 343-3900
Fax: (269) 343-5640
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 4301057885 | Michigan |
Profile Details
NPI number | 1043251614 |
---|---|
LBN Legal business name | Brennan, Kenneth M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 8th, 2006 |
Last updated | Mar 24th, 2010 - about 14 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 | 1043251614 | NPPES |
Michigan | MEDICAID | 10/2746876 | |
Michigan | MEDICAID | 10/4686937 | |
Michigan | MEDICAID | 10/2737966 |
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