Individual
MARK A BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
285 MEDICAL CENTER DR, PADUCAH, KY 42003-7912
(270) 441-4343
Mailing address
285 MEDICAL CENTER DR, PADUCAH, KY 42003-7912
(270) 441-4343
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA393
KY
Other
Enumeration date
08/18/2006
Last updated
03/04/2025
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