Individual
KYLA BRABHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
250 S WICKHAM RD, MELBOURNE, FL 32904-1134
(321) 752-5210
Mailing address
6949 BRYANT RD, COCOA, FL 32927-2982
(321) 464-8025
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11038617
FL
Other
Enumeration date
04/02/2025
Last updated
04/07/2025
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