Provider Demographics
NPI:1801987961
Name:BRAUN, KURT (DO)
Entity type:Individual
Prefix:
First Name:KURT
Middle Name:
Last Name:BRAUN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 7TH ST
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-7108
Mailing Address - Country:US
Mailing Address - Phone:610-258-5300
Mailing Address - Fax:610-258-5318
Practice Address - Street 1:2461 NAZARETH RD
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-2743
Practice Address - Country:US
Practice Address - Phone:610-258-5300
Practice Address - Fax:610-258-5138
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS007571L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA555086KKNMedicare ID - Type Unspecified
F93127Medicare UPIN