Individual
BRANDI MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6572 MIDLAND TRAIL RD, ASHLAND, KY 41102-9286
(606) 928-7755
(606) 928-0052
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-5044
(606) 408-7425
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA546
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068722
—
OH
05
—
95006029
—
KY
Enumeration date
10/05/2006
Last updated
02/24/2015
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