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Individual
MR. JEREMY J BRANDT
Active
Individual
MR. JEREMY J BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1500619
KS
363A00000X
Physician Assistant
Primary
1500619
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100340780A
—
KS
05
—
30004339400001
—
KS
Enumeration date
01/19/2006
Last updated
05/07/2026
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