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LETICIA BRAVO
NPI 1164565180
Pediatrics in Glasgow, KY

Active since February 15, 2007
1411 N RACE ST, GLASGOW, KY 42141(270) 651-9755(270) 651-7562 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leticia Bravo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LETICIA BRAVO (NPI 1164565180) is an individual pediatrics provider in Glasgow, Kentucky, licensed in Kentucky (171002) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1164565180
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLETICIA BRAVO
Location Address1411 N RACE STGlasgow, KY 42141-3474
Mailing Address1411 N Race StGlasgow, KY 42141-3474 · (270) 651-9755 · Fax (270) 651-7562
Phone(270) 651-9755
Fax(270) 651-7562
Sole ProprietorNo
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164565180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 171002
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1411 N RACE ST, Glasgow, KY 42141
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Other Identifiers 2

Medicare UPINC35061
Medicaid64171002KY

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEFANY VAUGHN MACK LPCC-S
Counselor (Professional)
1411 N RACE ST
GLASGOW, KY 42141
Barren County (270) 479-8900
MICHELLE MERCER EWING LPCA
Counselor (Professional)
1411 N RACE ST
GLASGOW, KY 42141
Barren County (270) 479-8900
KARA MORGAN HARRIS LCCP
Counselor (Mental Health)
1411 N RACE ST
GLASGOW, KY 42141
Barren County (270) 479-8900
SAVANNAH GRACE STEPHENS
Student in an Organized Health Care Education/Training Program
1411 N RACE ST
GLASGOW, KY 42141
Barren County (270) 479-8900
ORLANDO BRAVO
Obstetrics & Gynecology
1411 N RACE ST
GLASGOW, KY 42141
Barren County (270) 651-9755
LINDSAY MEGAN LLOYD LCSW
Social Worker (Clinical)
1411 N RACE ST
GLASGOW, KY 42141
Barren County (270) 479-8900
KATHERINE CHILDRES
Case Manager/Care Coordinator
1411 N RACE ST
GLASGOW, KY 42141
Barren County (270) 901-5000
HOLLY C OSTERMAN
Counselor (Mental Health)
1411 N RACE ST
GLASGOW, KY 42141
Barren County (270) 255-9793

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leticia Bravo's NPI number?

The NPI number for Leticia Bravo is 1164565180. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Leticia Bravo located?

Leticia Bravo practices at 1411 N Race St, Glasgow, KY 42141. The listed phone number is (270) 651-9755.

What is Leticia Bravo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Leticia Bravo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.