Individual
KORI BRANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
120 ADCOCK RD STE C, HOT SPRINGS, AR 71913-7958
(501) 651-4488
(501) 651-4499
Mailing address
300 PROSPECT AVE, HOT SPRINGS, AR 71901-4003
(501) 622-3334
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
577
AR
363A00000X
Physician Assistant
Primary
PA-1174
AR
Other
Enumeration date
04/18/2014
Last updated
06/19/2023
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