Provider Demographics
NPI:1508028754
Name:BRAITHWAITE, JOHN HUGH (DC, MS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HUGH
Last Name:BRAITHWAITE
Suffix:
Gender:M
Credentials:DC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8437 STATE AVE
Mailing Address - Street 2:STE A
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112-1851
Mailing Address - Country:US
Mailing Address - Phone:913-299-0276
Mailing Address - Fax:913-299-3775
Practice Address - Street 1:8437 STATE AVE
Practice Address - Street 2:STE A
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112-1851
Practice Address - Country:US
Practice Address - Phone:913-299-0276
Practice Address - Fax:913-299-3775
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011199111N00000X
KS0106163111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor