Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN BRANTLEY WISE, MD
ActiveKEVIN BRANTLEY WISE, MD is a General Surgery healthcare provider located in MILLCREEK, Utah. NPI 1427344233 is currently active in the NPPES registry. Verify at CMS.
General Surgery · MILLCREEK, UT
Registration Details
- NPI Number
- 1427344233
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2011 (15.167012995601 yrs)
- Last Updated
- Mar 30, 2023
- Licenses
-
55513 (MN)13005654-1205 (UT)Q8190 (TX)13005654-1205 (UT)
Practice Information
- Address
-
1200 E 3900 S STE 4EMILLCREEK, UT, 841241300Browse UT providers · Browse ZIP 84124
- Phone
- 3853473773
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- Surgical Critical Care
- Additional Specialty
- Trauma Surgery
- Additional Specialty
- General Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.