Individual
DR. KRYSTEL BRADDY-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
105 RIDGE WAY UNIT 3, FLOWOOD, MS 39232-3303
(601) 566-1039
Mailing address
393 MCCULLOUGH MCLIN RD, FLORENCE, MS 39073-7928
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3716-13
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2890263
—
MS
Enumeration date
03/12/2011
Last updated
10/24/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us