Individual provider · Type 1 NPI

Kyra Braun, PHYSICIAN ASSISTANT

Medical Physician Assistant · Philadelphia, PA

NPI number 1174147698 Active

Practice location

1516 Locust St
Philadelphia, PA 19102-4409

Mailing address

569 W Lancaster Ave
Haverford, PA 19041-1416

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant 363A00000XPAO1232 (RI)
Medical Physician Assistant Primary 363AM0700XMA063521 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1174147698

Kyra Braun, PHYSICIAN ASSISTANT's National Provider Identifier is 1174147698, issued on Jun 1, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 30, 2024.