Brabham, Kiki D.

Brabham, Kiki D. is an individual health care provider with primary practice located at 1301 S Coulter St Suite 405, Amarillo TX 79106-1763. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brabham, Kiki D. can be contacted via phone (806) 358-9111.

Contact Information

Primary practice address
1301 S Coulter St Suite 405 Amarillo TX 79106-1763
Phone: (806) 358-9111
Fax: (806) 358-3728
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA03755 Texas

Profile Details

NPI number 1578526885
LBN Legal business name Brabham, Kiki D.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Jul 12th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578526885 NPPES
Texas Other 8N9128 BLUE SHIELD

Popular Providers