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NPI Code Detail

MEDICARE: RENEE BRANSON

MEDICARE: RENEE BRANSON
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 Pathologist376KS

General Provider Information

NPI Number : 1124441688
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE BRANSON
Provider Business Mailing Address
First Line : 64 DANBURY RD
Second Line :
City : WILTON
State : CT
Zip : 06897-4429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 810 E 30TH AVE
Second Line :
City : HUTCHINSON
State : KS
Zip : 67502-4340
Country : US
Telephone Number : 620-663-1189
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2014
Last Update Date : 02/03/2014

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Directions to “ RENEE BRANSON ” Practice Location

Language Start Address Practice Location
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