Individual
KARA L BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1020 RIVER OAKS DR STE 310, JACKSON, MS 39232-9512
(601) 932-5006
(601) 932-4548
Mailing address
1020 RIVER OAKS DR, STE 310, FLOWOOD, MS 39232-9512
(601) 932-5006
(601) 932-4548
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
16466
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125825
—
MS
Enumeration date
09/07/2006
Last updated
12/04/2018
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