Provider Demographics
NPI:1245534452
Name:KAISER, BRIAN MICHAEL (MPH, PHARMD, BCPS)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:MICHAEL
Last Name:KAISER
Suffix:
Gender:M
Credentials:MPH, PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 PARNASSUS AVE # C-152
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0622
Mailing Address - Country:US
Mailing Address - Phone:415-443-5046
Mailing Address - Fax:415-353-1305
Practice Address - Street 1:521 PARNASSUS AVE # C-152
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0622
Practice Address - Country:US
Practice Address - Phone:415-443-5046
Practice Address - Fax:415-353-1305
Is Sole Proprietor?:No
Enumeration Date:2011-01-03
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA27408183500000X
CA61138183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist