Brand, Kmisha
Brand, Kmisha is an sole proprietor health care provider with primary practice located at 133 Spinder Dr Ste 4015 , East Peoria IL 61611. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brand, Kmisha can be contacted via phone (309) 308-5100.Contact Information
Primary practice address
133 Spinder Dr Ste 4015
East Peoria IL 61611
Phone: (309) 308-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209.020594 | Illinois |
Profile Details
| NPI number | 1649856717 |
|---|---|
| LBN Legal business name | Brand, Kmisha |
| Credentials | RN, MSN, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2021 |
| Last updated | Jun 25th, 2023 - about last year |
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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