Provider Demographics
NPI:1083241269
Name:BRAZELTON, KAYLA D (DO)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:D
Last Name:BRAZELTON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 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:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-26
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL37692084P0800X
TN60172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry