SearchKentucky183500000X

Jade Sophia Braga

NPI 1992679831 · on the registry since 2025

Practice

Address
4100 Towne Center Dr
Louisville, KY 40241
Phone
(502) 326-5210
Organisation at this address
Meijer Great Lakes Limited Partnership
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky