Individual
KYLE BRAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 W PINE ST, FAIRBURY, IL 61739-1449
(815) 419-7597
Mailing address
404 W PINE ST, FAIRBURY, IL 61739-1449
(815) 419-7597
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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