Kevin Brantley Wise, MD
Kevin Brantley Wise, MD is a General Surgery in Millcreek, Utah. Graduated from Vanderbilt University School of Medicine in 2011, 15 years ago. Practices with Intensive Care Consortium Inc, a 483-clinician group and accepts Medicare assignment. Licensed in Minnesota, Texas and Utah.
- Years since qualifying
- 15
- Trained at
- Vanderbilt University School of Medicine
- Licensed in
- MN, TX, UT
- In the registry since
- 2011
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1200 E 3900 S Ste 4EMillcreek, UT 84124-1300
Phone: (385) 347-3773
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 13005654-1205 (UT) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence 55513 (MN) |
| Surgical Critical Care Physician | Taxonomy 2086S0102X · Licence 13005654-1205 (UT) |
| Trauma Surgery Physician | Taxonomy 2086S0127X · Licence Q8190 (TX) |
Record details
| NPI number | 1427344233 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 21, 2011 |
| Last updated in NPPES | March 30, 2023 |
| Certification date | March 30, 2023 |
| Mailing address | 1220 E 3900 S Ste 4e, Millcreek, UT 84124-1343 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Medical school | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2011 (15 years in practice) |
| Group practice | Intensive Care Consortium Inc — 483 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |