Individual
KELLY ANN BRAUCHLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
417 W 38TH ST, ANDERSON, IN 46013-4019
(765) 642-7246
(765) 642-7246
Mailing address
417 W 38TH ST, ANDERSON, IN 46013-4019
(765) 642-7246
(765) 642-7246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002193A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227930A
MEDICARE ID
IN
Enumeration date
08/23/2005
Last updated
12/04/2007
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