MR. WILLES TODD BRAXTON NPI 1710962642

NPI Information

MR. Willes Todd Braxton is a military health care provider in Buzzards Bay, MA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. MR. Willes Todd Braxton NPI is 1710962642. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5201 LEE RD
KAEHLER MEMORIAL MEDICAL CLINIC
BUZZARDS BAY, MA
ZIP 02542-313
Phone: (508) 968-6578

The enumeration date for this NPI number is 12/14/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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