Individual
KERRY S BRAUNBERGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
3955 HARRISON BLVD, SUITE U7, OGDEN, UT 84403-2313
(801) 399-9955
(801) 399-3144
Mailing address
3955 HARRISON BLVD, SUITE U7, OGDEN, UT 84403-2313
(801) 399-9955
(801) 399-3144
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4827256-4101
UT
Other
Enumeration date
07/12/2005
Last updated
07/09/2007
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