Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRAYTON KIEDROWSKI, D.O.
Active Sole ProprietorBRAYTON KIEDROWSKI, D.O. is a Sports Medicine healthcare provider located in SHAKOPEE, Minnesota. NPI 1770019796 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · SHAKOPEE, MN
Registration Details
- NPI Number
- 1770019796
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2017 (9.2159921117285 yrs)
- Last Updated
- Sep 13, 2024
- Licenses
-
88752 (MT)02006537A (IN)77987 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1700 SAINT FRANCIS AVESHAKOPEE, MN, 55379Browse MN providers · Browse ZIP 55379
- Phone
- 9528318742
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.