Organization
KERRY BRAMON REMODELING AND DESIGN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRY L. BRAMON (PRESIDENT)
(573) 875-0794
Entity
Organization
Contact information
Practice address
1204 ROGERS ST, SUITE G, COLUMBIA, MO 65201-4736
(573) 875-0794
(573) 443-3841
Mailing address
1204 ROGERS ST, SUITE G, COLUMBIA, MO 65201-4736
(573) 875-0794
(573) 443-3841
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MO
Other
Enumeration date
07/31/2012
Last updated
11/07/2012
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