Individual
MISS BRANDI LEE KOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
141 TUSCALOOSA ST., MOBILE, AL 36607-3422
(251) 433-3344
(251) 433-4052
Mailing address
PO BOX 7987, MOBILE, AL 36670-0987
(251) 633-0573
(251) 633-7367
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-122336
AL
363LF0000X
Family Nurse Practitioner
Primary
1122336
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03988710
MS MEDICAID
MS
01
—
102I503889
MEDICARE
AL
05
—
171394
—
AL
05
—
213489
—
AL
05
—
214121
—
AL
05
—
221585
—
AL
05
—
222626
—
AL
01
—
511-58768
BCBS
AL
01
—
511-95733
BCBS
AL
01
—
5116736
AETNA
AL
01
—
512-06694
BCBS
AL
01
—
512-06695
BCBS
AL
01
—
5329049
UHC
AL
01
—
P01472078
RR MEDICARE
AL
01
—
Z94090
VIVA HEALTH
AL
Enumeration date
11/21/2014
Last updated
07/27/2023
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