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NPI Code Detail

MEDICARE: BRYN M KRANE PA-C

MEDICARE: BRYN M KRANE PA-C
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
1363A00000XPhysician AssistantMA056605PA
2207X00000XOrthopaedic Surgery PhysicianC06125MD

General Provider Information

NPI Number : 1376974196
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYN M KRANE PA-C
Provider Business Mailing Address
First Line : 2000 MEDICAL PKWY STE 101
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3743
Country : US
Telephone Number : 410-268-8862
Fax Number : 410-268-0380
Provider Business Practice Location Address
First Line : 2000 MEDICAL PKWY STE 101
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3743
Country : US
Telephone Number : 410-268-8862
Fax Number : 410-268-0380
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2013
Last Update Date : 08/10/2020

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Directions to “ BRYN M KRANE PA-C” Practice Location

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