Brannon, James Kevin

Brannon, James Kevin is an individual health care provider with primary practice located at 1500 Ross Clark Cir , Dothan AL 36301-4754. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Brannon, James Kevin can be contacted via phone (334) 793-2663.

Contact Information

Primary practice address
1500 Ross Clark Cir Dothan AL 36301-4754
Phone: (334) 793-2663
Fax: (334) 836-2248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-582 Alabama

Profile Details

NPI number 1205001922
LBN Legal business name Brannon, James Kevin
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Feb 17th, 2017 - about 9 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 1205001922 NPPES
Georgia MEDICAID 0003184448 A & B
Georgia MEDICAID 192973
Georgia MEDICAID 193179
Georgia Other 511-84985
Georgia Other 511-84987

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