Physician Compare National (NPI:1639376296)

HEALTHCARE PROVIDER: KELLY SHAWN BRAUER M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1639376296
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8224101035
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080725000584
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BRAUER
	Individual professional last name
Provider First Name	KELLY
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	ALLERGY/IMMUNOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2200 E PARRISH AVE A
	Group Practice or individual's line 1 address
City	OWENSBORO
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	423031453
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	180038
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	OWENSBORO HEALTH REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y