Provider Demographics
NPI:1780024380
Name:BRAU, KAITLIN GILHAM (MD)
Entity Type:Individual
Prefix:
First Name:KAITLIN
Middle Name:GILHAM
Last Name:BRAU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KAITLIN
Other - Middle Name:LAURYN ASHLEY
Other - Last Name:GILHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:301 N 27TH ST STE 20
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-4457
Mailing Address - Country:US
Mailing Address - Phone:662-808-1324
Mailing Address - Fax:
Practice Address - Street 1:301 N 27TH ST STE 20
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4457
Practice Address - Country:US
Practice Address - Phone:402-844-8680
Practice Address - Fax:402-844-8681
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE30757207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism