Individual
DR. KIM B. BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3900 CAPITOL MALL DR SW, OLYMPIA, WA 98502-8654
(360) 754-5858
Mailing address
5101 BRENNER RD NW, OLYMPIA, WA 98502-1534
(319) 329-8908
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00045715
WA
207Q00000X
Family Medicine Physician
20279
IA
207Q00000X
Family Medicine Physician
MD00045715
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0236140
LIWA VCR
WA
05
—
1012308
—
WA
01
—
3076BR
BSWA
WA
05
—
8444226
—
WA
01
—
P00626487
RRGA
WA
Enumeration date
06/14/2006
Last updated
08/24/2010
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