Individual
BRANDON HUGHES MCKANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06850-3815
(203) 852-2000
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 852-2000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4626
CT
363AS0400X
Surgical Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/31/2019
Last updated
06/13/2021
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