Brandt, Kim B.

Brandt, Kim B. is an sole proprietor health care provider with primary practice located at 3900 Capitol Mall Dr Sw , Olympia WA 98502-8654. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Brandt, Kim B. can be contacted via phone (360) 754-5858.

Contact Information

Primary practice address
3900 Capitol Mall Dr Sw Olympia WA 98502-8654
Phone: (360) 754-5858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20279 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00045715 Washington
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00045715 Washington

Profile Details

NPI number 1518900950
LBN Legal business name Brandt, Kim B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Aug 24th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518900950 NPPES
Washington MEDICAID 1012308
Washington Other 3076BR
Washington MEDICAID 8444226
Washington Other 0236140
Washington Other P00626487

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