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Individual
BRANDON HUGHES MCKANNA
Active
Individual
BRANDON HUGHES MCKANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4626
CT
363AS0400X
Surgical Physician Assistant
—
NULL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
07/31/2019
Last updated
06/13/2021
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