Provider Demographics
NPI:1558252668
Name:KAYLA BRAZELTON DO PLLC
Entity type:Organization
Organization Name:KAYLA BRAZELTON DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BRAZELTON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:615-413-4100
Mailing Address - Street 1:2550 MERIDIAN BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6384
Mailing Address - Country:US
Mailing Address - Phone:615-413-4100
Mailing Address - Fax:
Practice Address - Street 1:2550 MERIDIAN BLVD STE 200
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6384
Practice Address - Country:US
Practice Address - Phone:615-413-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health