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Contact Information

JIMMY D BRANNON, COTA,L
313 MAIN
FORDSVILLE, KY42343
 Phone: 270-276-5435
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for JIMMY D BRANNON · (Male)

NPI Number 1174720445
Status Active
Credentials COTA,L
Entity Individual
Enumeration date 06/29/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • KY License # A3397
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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