Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 4301057885 | MI |
NPI | 1043251614 |
---|---|
Provider Name | Dr. Kenneth M Brennan |
First Address | Kalamazoo, MI 49007-4832 |
Second Address | Kalamazoo, MI 49007-4832 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 24/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10/2737966 | (05) | MI |
10/2746876 | (05) | MI |
10/4686937 | (05) | MI |
F00076 | (02) | MI |