Brandon Michael Kantner
Nurse Practitioner, Acute Care in Kinzers, PA. Individual provider (NPI-1).
NPI number1619709367
StatusActive
Last updated in NPPESJan 18, 2025
Details
- NPI
- 1619709367
- Entity type
- Individual (NPI-1)
- Name
- Brandon Michael Kantner
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2024
- Certification date
- Jan 18, 2025
- Last updated
- Jan 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | SP031906 | PA | Yes |
Practice location
3601 Lincoln Hwy EKinzers, PA 17535-9616
Phone 570-401-2711
Mailing address
3936 Laurel RunColumbia, PA 17512-9232
Phone 570-401-2711
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