Individual
BRANDON PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1131
(620) 669-2500
Mailing address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1131
(620) 669-2500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-01572
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200968330A
—
KS
Enumeration date
09/27/2012
Last updated
01/22/2013
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