Brannon, Kellie
Brannon, Kellie is an sole proprietor health care provider with primary practice located at 5920 Sw 68Th St , South Miami FL 33143-3524. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Brannon, Kellie can be contacted via phone (305) 270-9026.Contact Information
Primary practice address
5920 Sw 68Th St
South Miami FL 33143-3524
Phone: (305) 270-9026
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT3867 | Florida |
Profile Details
| NPI number | 1871823674 |
|---|---|
| LBN Legal business name | Brannon, Kellie |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2009 |
| Last updated | Dec 30th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871823674 | NPPES |
| Florida | MEDICAID | 882186100 |
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