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Individual

BRANDI ELIZABETH KENNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 687-1594
Mailing address
1800 MULBERRY ST, SCRANTON, PA 18510
(570) 703-8000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA060754
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MA060754
PA
363A00000X
Physician Assistant
Primary
MA060754
PA

Other

Enumeration date
08/15/2019
Last updated
02/23/2022
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