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Dr. Brent D Kennedy, MD
Specialist in Murray, Utah
NPI 1174747109

Brent D Kennedy is a Specialist based in Murray, UT. Brent D Kennedy practices in Murray, UT and has the professional credentials of MD. The NPI Number for Brent D Kennedy is 1174747109 and holds a License No. 0714510013 (Utah).

The current practice location address for Brent D Kennedy is 5929 Fashion Blvd, Murray, UT and can be reached out via phone at 801-261-3637 and via fax at 801-261-4096. You can also correspond with Brent D Kennedy through the mailing address at 5929 FASHION BLVD, MURRAY, UT - 84107-7364 (mailing address contact number: 801-261-3637).

Location: 5929 Fashion Blvd, Murray, UT, 84107-7364
person
Provider Profile Details
NPI Number
1174747109
Provider Name
Brent D Kennedy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5929 Fashion Blvd, Murray, UT, 84107-7364
Phone Number
801-261-3637
Fax Number
801-261-4096
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
870503471 01 UT FEDERAL TAX ID
0714510013 01 UT STATE LICENSE
AK7813048 01 UT SPECIALTY LICENSE
institution
Provider Business Practice Location Address Details
Address
5929 Fashion Blvd
City
State
Zip
84107-7364
Phone Number
801-261-3637
Fax Number
801-261-4096
person
Provider Business Mailing Address Details
Address
5929 Fashion Blvd
City
State
Zip
84107-7364
Phone Number
801-261-3637
Fax Number
801-261-4096
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
0714510013 (Utah)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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