Provider Demographics
NPI:1073133898
Name:BRASWELL, WILLIAM KEVIN
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:KEVIN
Last Name:BRASWELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 POINCIANA DR
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-4126
Mailing Address - Country:US
Mailing Address - Phone:205-868-9311
Mailing Address - Fax:
Practice Address - Street 1:228 POINCIANA DR
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-4126
Practice Address - Country:US
Practice Address - Phone:205-868-9311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-22
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225CA2500XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology Supplier