Provider Demographics
NPI:1881568947
Name:BRAUNSTEIN, KENNETH CARL
Entity type:Individual
Prefix:
First Name:KENNETH
Middle Name:CARL
Last Name:BRAUNSTEIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 S EL CAMINO REAL STE H
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92672-4294
Mailing Address - Country:US
Mailing Address - Phone:949-395-2288
Mailing Address - Fax:
Practice Address - Street 1:616 S EL CAMINO REAL STE H
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92672-4294
Practice Address - Country:US
Practice Address - Phone:949-395-2288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach