Kenneth Brait, MD | |
100 Hospital Drive, Ste 109, Ketchum, ID 83340 | |
(208) 578-3481 | |
Not Available |
Full Name | Kenneth Brait |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 100 Hospital Drive, Ketchum, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699716936 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | M8099 (Idaho) | Primary |
2084N0400X | Psychiatry & Neurology - Neurology | MD60070552 (Washington) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Kenneth Brait, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | Kenneth Brait, MD 100 Hospital Drive, Ste 109, Ketchum, ID 83340 Ph: (208) 578-3481 |
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