Individual
DR. KURT T BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-1912
(703) 838-4455
(703) 838-5070
Mailing address
11009 BLENHEIM DR, OAKTON, VA 22124-1802
(703) 838-4455
(703) 838-5070
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0101033931
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299093
AMERIGROUP VIRGINIA, INC.
VA
Enumeration date
11/30/2006
Last updated
07/08/2007
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