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1194429092
BRENT D. KENNIS
SALT LAKE CITY, UT
NPI
1194429092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: UT 14145050-1205)
Enumeration Date
2023-03-27
Last Update Date
2024-09-17
Business Address
DR. BRENT D. KENNIS MD
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-7606
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Mailing Address
DR. BRENT D. KENNIS MD
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-7606
Copy
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