Individual
BRANDON KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1402 9TH AVE, ALTOONA, PA 16602-2415
(814) 940-2000
(814) 569-1878
Mailing address
1402 9TH AVE, ALTOONA, PA 16602-2415
(814) 940-2000
(814) 569-1878
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN295634
PA
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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