Provider Demographics
NPI:1679152680
Name:BRUNET, KATELYN (DC)
Entity type:Individual
Prefix:DR
First Name:KATELYN
Middle Name:
Last Name:BRUNET
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7999 DAISY HILL CT
Mailing Address - Street 2:
Mailing Address - City:CONCORD TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:44077-8746
Mailing Address - Country:US
Mailing Address - Phone:440-855-7650
Mailing Address - Fax:
Practice Address - Street 1:1110 HILLCREST RD STE 1F
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-3954
Practice Address - Country:US
Practice Address - Phone:512-891-4822
Practice Address - Fax:251-286-1010
Is Sole Proprietor?:No
Enumeration Date:2021-04-06
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-05057111N00000X
AL2726111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor