Brayton, Kimberly Brayton
Brayton, Kimberly Brayton is an individual health care provider with primary practice located at 3536 Mendocino Ave Ste 200, Santa Rosa CA 95403-3648. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Brayton, Kimberly Brayton can be contacted via phone (707) 573-6166.Contact Information
Primary practice address
3536 Mendocino Ave Ste 200
Santa Rosa CA 95403-3648
Phone: (707) 573-6166
Fax: (707) 573-6165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A106242 | California |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A106242 | California |
Profile Details
| NPI number | 1811128275 |
|---|---|
| LBN Legal business name | Brayton, Kimberly Brayton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2009 |
| Last updated | Jan 10th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811128275 | NPPES |
| California | Other | P01609287 | RAILROAD MEDICARE |
| California | Other | 0A1062420 | RAILROAD MEDICARE |
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