Keyen Marcus Braughton
Student in an Organized Health Care Education/Training Program in Warrensburg, MO. Individual provider (NPI-1).
NPI number1194222091
StatusActive
Last updated in NPPESApr 9, 2018
Details
- NPI
- 1194222091
- Entity type
- Individual (NPI-1)
- Name
- Keyen Marcus Braughton
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2018
- Last updated
- Apr 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
108 W South StWarrensburg, MO 64093-2324
Phone 660-543-4256
Mailing address
1148 Silverleaf LnLiberty, MO 64068-8496
Phone 816-723-0408
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Other Student in an Organized Health Care Education/Training Program providers in Warrensburg, MO
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All 37 Student in an Organized Health Care Education/Training Program providers in Warrensburg · All 622 providers in Warrensburg
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