NPI 1205001922

James Kevin Brannon, PA

Practitioner Physician Assistant Dothan, AL

Practice location

Address: 1500 Ross Clark Cir, Dothan, AL 36301-4754
Phone: (334) 793-2663
Fax: (334) 836-2248
Mailing address: PO Box 729, Dothan, AL 36302-0729

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-582 (AL)

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Registry record

NPI: 1205001922
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2008
Record last updated: 17 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.