Individual provider · Type 1 NPI
Brandon J. Kennedy, MD
Retina Specialist (Ophthalmology) Physician · Salt Lake City, UT
NPI number
1699395624
Active
Practice location
65 Mario Capecchi Dr Salt Lake City Ut 84132
Salt Lake City, UT 84132-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology Physician | 207W00000X | 12439653-1205 (UT) |
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | A208441 (CA) |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
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About NPI 1699395624
Brandon J. Kennedy, MD's National Provider Identifier is 1699395624, issued on Apr 20, 2020. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 13, 2026.