Individual provider · Type 1 NPI

Kevin Brantley Wise, MD

Surgery Physician · Millcreek, UT

NPI number 1427344233 Active

Practice location

1200 E 3900 S Ste 4E
Millcreek, UT 84124-1300

Mailing address

1220 E 3900 S Ste 4E
Millcreek, UT 84124-1343

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X55513 (MN)
Surgical Critical Care Physician 2086S0102X13005654-1205 (UT)
Trauma Surgery Physician 2086S0127XQ8190 (TX)
Surgery Physician Primary 208600000X13005654-1205 (UT)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

About NPI 1427344233

Kevin Brantley Wise, MD's National Provider Identifier is 1427344233, issued on Jun 21, 2011. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Millcreek, UT. The record was last updated on Mar 30, 2023.