Individual
DR. CAROL JEAN BRAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2816 VEACH RD, OWENSBORO, KY 42303-6295
(270) 683-7114
(270) 684-0152
Mailing address
2816 VEACH RD, OWENSBORO, KY 42303-6295
(270) 683-7114
(270) 684-0152
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5950
KY
1223P0221X
Pediatric Dentistry
Primary
5950
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4560050900
EPSDT
KY
05
—
60059508
—
KY
Enumeration date
07/31/2006
Last updated
01/07/2008
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