Provider Demographics
NPI:1972927432
Name:KINSCH, BRANDA (RN)
Entity Type:Individual
Prefix:
First Name:BRANDA
Middle Name:
Last Name:KINSCH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1271B AIRBORNE DR
Mailing Address - Street 2:
Mailing Address - City:JBER
Mailing Address - State:AK
Mailing Address - Zip Code:99505-1078
Mailing Address - Country:US
Mailing Address - Phone:907-717-8841
Mailing Address - Fax:
Practice Address - Street 1:1271B AIRBORNE DR
Practice Address - Street 2:
Practice Address - City:JBER
Practice Address - State:AK
Practice Address - Zip Code:99505-1078
Practice Address - Country:US
Practice Address - Phone:907-717-8841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX794803163W00000X
MDR187765163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse