KENNETH DALE BRANN JR. (NPI# 1548504665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548504665 |
| Entity Type | Individual |
| Full Name | KENNETH DALE BRANN JR. |
| Practice Address |
2060 W Iles Ave Suite C Springfield IL 62704-4191 |
| Practice Telephone | 6362844987 |
| Mailing Telephone | 6362844987 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2016-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 3118 | IL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS HEARING INSTRUMENT DISPENSER | 3118 | 01 |
| Street Address |
2060 W ILES AVE SUITE C |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-4191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063964922 | Heartland Hearing, Inc | Hearing Instrument Specialist | 2060 W Iles Ave, Suite C, Springfield, IL 62704-4191 | 2016-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407329881 | Jessica Betts | Hearing Instrument Specialist | 1699 N Bechtle Ave, Springfield, OH 45504-1568 | 2019-01-08 |
| 1235615345 | Brett Jerrod Griffith | Hearing Instrument Specialist | 1922 N Limestone St, Springfield, OH 45503-2648 | 2018-07-12 |
| 1093238800 | Lisa Ann Elmore | Hearing Instrument Specialist | 1001 E Chestnut Expy, Springfield, MO 65802-3625 | 2017-07-24 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1619243730 | Robert T Guison | Hearing Instrument Specialist | 3552 S Campbell Ave, Springfield, MO 65807-5183 | 2012-03-23 |
| 1801191903 | Hanns Christopher Bell | Hearing Instrument Specialist | 2943 West White Oak Drive #6, Springfield, IL 62704 | 2011-01-20 |
| 1528296316 | Harley Lee Goodwin | Hearing Instrument Specialist | 1936 E Sunshine St, Ste B, Springfield, MO 65804-1528 | 2009-06-30 |
| 1942499587 | Jeci Mora Ramos Jr. | Hearing Instrument Specialist | 2133 N Nettleton, Springfield, MO 65803 | 2007-10-19 |
| 1053518118 | Kelly Jean Fore | Hearing Instrument Specialist | 802 S Canton Ave, Springfield, MO 65802-4978 | 2007-06-29 |
| 1477762193 | Chandra. Renee Goodwin | Hearing Instrument Specialist | 1927 S National Ave, Ste. A, Springfield, MO 65804-2219 | 2007-05-21 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
Please comment or provide details below to improve the information on KENNETH DALE BRANN JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.