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Deactivated NPI 1174747109 Deactivated / Inactive NPI Male Practitioner

Dr. Brent D Kennedy , MD

Specialist • Murray, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Brent Kennedy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 12, 2007
NPI Deactivation Date September 18, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Brent Kennedy, MD was a registered Specialist practicing in Murray, UT. Throughout an active medical career spanning 17 years, Dr. Kennedy provided care at the practice location at 5929 FASHION BLVD until profile deactivation on 2024-09-18.

Practice Location & Contact Primary Location

Practice Address

5929 Fashion Blvd

Murray, UT 841077364

Telephone 8012613637
Fax 8012614096
Associated Practice Facility / Clinic
🏢 Institute Of Facial Surgery Facility NPI 1265656227

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Murray, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 47.0 Yrs
State Avg: 33.4 Yrs
Regional Practice Density
13 Specialists

Practicing in Murray, UT (427 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License UT 0714510013

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 18, 2024

Record deactivated on September 18, 2024

NPI Profile Active November 12, 2012

NPI status registered as active in NPPES database

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Updated Practice Location November 12, 2012

Registered at 5929 FASHION BLVD, MURRAY, UT 841077364 (Tel: 8012613637)

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Updated Business Mailing Address November 12, 2012

Registered at 5929 FASHION BLVD, MURRAY, UT 841077364 (Tel: 8012613637)

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Provider Name / Credentials Updated November 12, 2012

Recorded as BRENT KENNEDY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2012

Specialist (License #0714510013 in UT)

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Initial NPI Registration & Enumeration April 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174747109
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2007
Last Update: November 12, 2012
Deactivation Date: September 18, 2024

Mailing Address

5929 Fashion Blvd

Murray, UT 841077364

Phone: 8012613637

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.