Individual
MRS. KIMBERLY LYNN BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1726 BUCKLEY LN, PROVO, UT 84606-5031
(801) 373-6562
(801) 375-9225
Mailing address
1726 BUCKLEY LN, PROVO, UT 84606-5031
(801) 373-6562
(801) 375-9225
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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