Individual
KIM BRANDTONIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
899 POPLAR CHURCH RD, CAMP HILL, PA 17011-2206
(717) 763-0430
(717) 763-9854
Mailing address
899 POPLAR CHURCH RD, CAMP HILL, PA 17011-2206
(717) 763-0430
(717) 763-9854
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN537260
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001678873
HIGHMARK
PA
01
—
106594
GEISINGER
PA
01
—
20053630
MERCY
PA
01
—
2353006000
INDEPENDENCE BLUE CROSS
PA
01
—
50055787
KEYSTONE HEALTH PLAN CENTRAL
PA
01
—
7510766
AETNA-NON HMO
PA
01
—
P00277514
RR MEDICARE
PA
Enumeration date
04/13/2006
Last updated
07/29/2013
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