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Dr. Stephanie Jill Braverman, MD
Pediatrics Physician in Fort Campbell, Kentucky
NPI 1447712294

Stephanie Jill Braverman is a Pediatrics Physician based in Fort Campbell, KY. Stephanie Jill Braverman practices in Fort Campbell, KY and has the professional credentials of MD. The NPI Number for Stephanie Jill Braverman is 1447712294 and holds a License No. 0101271008 (Kentucky).

The current practice location address for Stephanie Jill Braverman is 650 Joel Dr, Fort Campbell, KY and can be reached out via phone at 270-798-8258.

Location: 650 Joel Dr, Fort Campbell, KY, 42223-5318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447712294
Provider Name
Stephanie Jill Braverman
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
650 Joel Dr, Fort Campbell, KY, 42223-5318
Phone Number
270-798-8258
Fax Number
Provider Enumeration Date
04/02/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39020000X 01 UNLICENSED PROVIDER
institution
Provider Business Practice Location Address Details
Address
650 Joel Dr
City
Fort Campbell
State
Kentucky
Zip
42223-5318
Phone Number
270-798-8258
Fax Number
person
Provider Business Mailing Address Details
Address
650 Joel Dr
City
Fort Campbell
State
Kentucky
Zip
42223-5318
Phone Number
270-798-8258
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
0101271008 (Virginia)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0101271008 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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