Provider Demographics
NPI:1639378656
Name:BRAUNSTEIN, KJERSTI (MD)
Entity Type:Individual
Prefix:DR
First Name:KJERSTI
Middle Name:
Last Name:BRAUNSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KJERSTI
Other - Middle Name:
Other - Last Name:GEMAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1200 5TH AVE
Mailing Address - Street 2:STE 800
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-3132
Mailing Address - Country:US
Mailing Address - Phone:206-374-0109
Mailing Address - Fax:206-374-0108
Practice Address - Street 1:1200 5TH AVE
Practice Address - Street 2:STE 800
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-3132
Practice Address - Country:US
Practice Address - Phone:206-374-0109
Practice Address - Fax:206-374-0108
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAML200089332084P0800X
WAMD601053662084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry