Wise, Kevin Brantley

Wise, Kevin Brantley is an individual health care provider with primary practice located at 1200 E 3900 S Ste 4E , Millcreek UT 84124-1300. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Wise, Kevin Brantley can be contacted via phone (385) 347-3773.

Contact Information

Primary practice address
1200 E 3900 S Ste 4E Millcreek UT 84124-1300
Phone: (385) 347-3773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 55513 Minnesota
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 13005654-1205 Utah
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X Q8190 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 13005654-1205 Utah

Profile Details

NPI number 1427344233
LBN Legal business name Wise, Kevin Brantley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2011
Last updated Mar 30th, 2023 - about 2 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.

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