Individual
BRANDON KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711-0027
(570) 808-7850
(570) 808-7855
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 808-7850
(570) 808-7855
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN682702
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN682702
PA
Other
Enumeration date
09/26/2023
Last updated
02/20/2026
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