Individual
MS. KATHERINE E. BRANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
504 E BROADWAY, SUITE A, ASHLAND, MO 65010-9538
(573) 657-7330
(573) 657-1772
Mailing address
PO BOX 255, ASHLAND, MO 65010-0255
(573) 657-7330
(573) 657-1772
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
104711
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424895126
—
MO
05
—
507374205
—
MO
Enumeration date
11/14/2005
Last updated
01/25/2011
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