Individual
KIMBERLY FRANCES BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCMA
Contact information
Practice address
851 COMMERCE BLVD STE 107, DICKSON CITY, PA 18519-1762
(570) 489-5561
(570) 291-4473
Mailing address
1790 E MOUNTAIN RD, SCRANTON, PA 18505-2729
(570) 468-5778
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
D2X8X9MZ
PA
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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