Braud, Krista B

Braud, Krista B is an individual health care provider with primary practice located at 330 S 5Th St Ste 202 , Enid OK 73701-5861. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Braud, Krista B can be contacted via phone (580) 297-5340.

Contact Information

Primary practice address
330 S 5Th St Ste 202 Enid OK 73701-5861
Phone: (580) 297-5340
Fax: (580) 297-5344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1259 Oklahoma

Profile Details

NPI number 1710980701
LBN Legal business name Braud, Krista B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated May 4th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710980701 NPPES
Oklahoma MEDICAID 200014980A

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