IndividualActive
Willes Braxton
NPI 1710962642 · Military Health Care Provider · Buzzards Bay, MA
Provider details
- NPI number
- 1710962642
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- B1673135 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5201 Lee Rd
Kaehler Memorial Medical Clinic
Buzzards Bay, MA 02542-1313
Phone: (508) 968-6578
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1766
Mashpee, MA 02649-1766
Registry dates
- Enumerated
- 2005-12-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.