Individual
MR. KEVIN BRANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
54 MASTERS CIR, MARLTON, NJ 08053-3746
(646) 302-2380
Mailing address
54 MASTERS CIR, MARLTON, NJ 08053-3746
(646) 302-2380
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
635239-1
NY
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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