Individual
KYLIE LYNN BRAAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6716
(414) 456-6515
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6716
(414) 456-6515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1507023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649231085
—
WI
05
—
41961100
—
WI
Enumeration date
03/28/2006
Last updated
02/17/2021
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