Braddy-Brown, Krystel
Braddy-Brown, Krystel is an individual health care provider with primary practice located at 105 Ridge Way Unit 3 , Flowood MS 39232-3303. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Braddy-Brown, Krystel can be contacted via phone (601) 566-1039.Contact Information
Primary practice address
105 Ridge Way Unit 3
Flowood MS 39232-3303
Phone: (601) 566-1039
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Dentist | 122300000X | 3716-13 | Mississippi |
Profile Details
| NPI number | 1144528381 |
|---|---|
| LBN Legal business name | Braddy-Brown, Krystel |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2011 |
| Last updated | Oct 24th, 2018 - about 7 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 | 1144528381 | NPPES |
| Mississippi | MEDICAID | 2890263 |
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