Provider Demographics
NPI:1386220325
Name:BRANHAM, KI'ARA KE'ONTE RAINER (MD)
Entity type:Individual
Prefix:DR
First Name:KI'ARA
Middle Name:KE'ONTE RAINER
Last Name:BRANHAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:KI'ARA
Other - Middle Name:KE'ONTE
Other - Last Name:RAINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1005 DR DB TODD JR BLVD
Mailing Address - Street 2:OBGYN
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-3501
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1005 DR DB TODD JR BLVD
Practice Address - Street 2:OBGYN
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-3501
Practice Address - Country:US
Practice Address - Phone:615-327-5547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-21
Last Update Date:2021-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program