Provider Demographics
NPI:1801592662
Name:BRANCH, KIMBERLY ADRIAN
Entity type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:ADRIAN
Last Name:BRANCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7424 WASHINGTON AVE # F
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-2521
Mailing Address - Country:US
Mailing Address - Phone:412-583-6853
Mailing Address - Fax:
Practice Address - Street 1:3348 WEBSTER AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-3916
Practice Address - Country:US
Practice Address - Phone:412-583-6853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide