MEDICARE: BRANDON KIJEWSKI

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1699028662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON KIJEWSKI

Provider Business Mailing Address
First Line	:	418 NEW GOFF MOUNTAIN RD
Second Line	:
City	:	CROSS LANES
State	:	WV
Zip	:	25313-1463
Country	:	US
Telephone Number	:	304-755-9411
Fax Number	:

Provider Business Practice Location Address
First Line	:	418 NEW GOFF MOUNTAIN RD
Second Line	:
City	:	CROSS LANES
State	:	WV
Zip	:	25313-1463
Country	:	US
Telephone Number	:	304-755-9411
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2012
Last Update Date	:	12/28/2020

Similar Medicare Providers

1780271569 — NICHOLE CASTO
Practice Location Address:

418 NEW GOFF MTN RD
CHARLESTON, WV
25313-1463

Practice Phone: 304-755-9411
Practice Fax:

1427327790 — LEARY EDUCATIONAL FOUNDATIN, INC
Practice Location Address:

1463 NEW HOPE RD
CROSS JUNCTION, VA
22625-2035

Practice Phone: 540-888-3456
Practice Fax:

1326994591 — BREAUNNA TIGNOR
Practice Location Address:

5512 BIG TYLER RD
CROSS LANES, WV
25313-1304

Practice Phone: 304-766-9830
Practice Fax:

1205782489 — TERRY SALYERS
Practice Location Address:

5512 BIG TYLER RD
CROSS LANES, WV
25313-1304

Practice Phone: 304-766-9830
Practice Fax:

1861348054 — CEARR SHAHEEN
Practice Location Address:

5512 BIG TYLER RD
CROSS LANES, WV
25313-1304

Practice Phone: 304-766-9830
Practice Fax:

1093711251 — MR. RICHARD L WORKMAN M.A.
Practice Location Address:

202 GLASS DR
CROSS LANES, WV
25313-1319

Practice Phone: 304-776-7230
Practice Fax: 304-776-7247

Directions to “ BRANDON KIJEWSKI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.