Individual
BRANDI MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4627 AICHOLTZ RD, CINCINNATI, OH 45244-1447
(513) 753-2820
(513) 753-2824
Mailing address
424 WARDS CORNER RD STE 200, LOVELAND, OH 45140-6966
(513) 707-4041
(513) 576-1020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002852
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084637
—
OH
Enumeration date
05/27/2009
Last updated
09/10/2020
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