Individual
KENNETH BRAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HOSPITAL DRIVE, STE 109, KETCHUM, ID 83340
(208) 578-3481
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M8099
ID
2084N0400X
Neurology Physician
MD60070552
WA
Other
Enumeration date
06/09/2006
Last updated
08/24/2015
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