Dr. Kyle Stephen Brabaw
Physical Medicine & Rehabilitation Doctor
1585 Third Street
Fort Polk
, Louisiana 71459-5536
Dr. Kyle Stephen Brabaw
Physical Medicine & Rehabilitation Doctor
1585 Third Street
Fort Polk
, Louisiana 71459-5536
(989) 513-5002
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Kyle Stephen Brabaw
- 2637 N Stark Rd
- Midland, MI
- Zip : 48642-9464
- Phone : (989) 513-5002
Second Address
- Dr. Kyle Stephen Brabaw
- 1585 Third Street
- Fort Polk, LA
- Zip : 71459-5536
- Phone : (337) 531-3203
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Is Dr. Kyle Stephen Brabaw a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | 2305211419 | VA |
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 294643 | CA |
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | 5501018291 | MI |
National Provider Identifier
| NPI | 1003304080 |
|---|---|
| Provider Name | Dr. Kyle Stephen Brabaw |
| First Address | Midland, MI 48642-9464 |
| Second Address | Fort Polk, LA 71459-5536 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2018 |
| Last Update Date | 03/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.