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NPI Code Detail

MEDICARE: MR. BRANDON D. KERR

MEDICARE: MR. BRANDON D. KERR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistPSLP-0784WV

General Provider Information

NPI Number : 1326510645
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRANDON D. KERR
Provider Business Mailing Address
First Line : 2234 ROBERT ST
Second Line :
City : NORTH HUNTINGDON
State : PA
Zip : 15642-2963
Country : US
Telephone Number : 724-689-3222
Fax Number :
Provider Business Practice Location Address
First Line : 1000 MAPLEWOOD DR
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-9115
Country : US
Telephone Number : 304-933-3338
Fax Number : 304-933-3339
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2018
Last Update Date : 12/27/2018

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Directions to “ MR. BRANDON D. KERR ” Practice Location

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