Brandt, Kimberly S

Brandt, Kimberly S is an individual health care provider with primary practice located at 2510 Adams Ave , La Grande OR 97850-3467. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Brandt, Kimberly S can be contacted via phone (541) 963-9515.

Contact Information

Primary practice address
2510 Adams Ave La Grande OR 97850-3467
Fax: (541) 963-8907
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X CPT-0005931 Oregon

Profile Details

NPI number 1245503820
LBN Legal business name Brandt, Kimberly S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2012
Last updated Feb 13th, 2012 - about 12 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 1245503820 NPPES
Oregon Other CPT-0005931 PHARMACY TECHNICIAN

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