Provider Demographics
NPI:1679215016
Name:BRENNAN, KEVIN DANIEL (DO)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:DANIEL
Last Name:BRENNAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 776084
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6084
Mailing Address - Country:US
Mailing Address - Phone:314-543-5996
Mailing Address - Fax:314-543-5958
Practice Address - Street 1:5758 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:OAKVILLE
Practice Address - State:MO
Practice Address - Zip Code:63129-4244
Practice Address - Country:US
Practice Address - Phone:314-543-5996
Practice Address - Fax:314-543-5958
Is Sole Proprietor?:No
Enumeration Date:2022-04-07
Last Update Date:2025-07-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2025023535207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine