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General NPI Number Information
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NPI Number | 1184571978
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Entity Type | Organization
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Legal Business Name | KEVIN BRANDSTETTER, M.D., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 709 BRODERICK STREET
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-1413
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Country | US
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Telephone | 415-742-1072
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 N ST #15129
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City | SACRAMENTO
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State | CA
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Zip | 95816-5712
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Country | US
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Telephone | 415-742-1072
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEVIN DAVID BRANDSTETTER
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Credential | M.D.
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Telephone | 415-742-1072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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