Individual
KELLY SUE BRANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
186 HOSPITAL DR, GRANTSVILLE, WV 26147-7100
(304) 354-9244
Mailing address
4108 9TH AVE, PARKERSBURG, WV 26101-6516
(304) 834-2994
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
66361
WV
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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