Individual
KYLE DAVID BRAITHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5860 S 108TH ST, HALES CORNERS, WI 53130-1912
(414) 529-3222
Mailing address
5860 S 108TH ST, HALES CORNERS, WI 53130-1912
(414) 529-3222
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21482-40
WI
Other
Enumeration date
11/09/2022
Last updated
12/23/2022
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