Individual
KORY JOHN BRIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2415 E YANDELL DR, SUITE B, EL PASO, TX 79903-3616
(915) 577-0030
(915) 533-2568
Mailing address
2415 E YANDELL DR, EL PASO, TX 79903
(915) 577-0111
(915) 533-2568
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
699797
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039040
COUNSIL ON RECERTIF OF NA
—
05
—
169090102
—
TX
Enumeration date
08/02/2005
Last updated
07/08/2007
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