Brady, Karen Mary

Brady, Karen Mary is an individual health care provider with primary practice located at 1205 Grampian Blvd Suite 1D, Williamsport PA 17701-1978. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Brady, Karen Mary can be contacted via phone (570) 320-7880.

Contact Information

Primary practice address
1205 Grampian Blvd Suite 1D Williamsport PA 17701-1978
Phone: (570) 320-7880
Fax: (570) 320-7882
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X OS005273L Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS005273L Pennsylvania

Profile Details

NPI number 1154399178
LBN Legal business name Brady, Karen Mary
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Oct 19th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154399178 NPPES
Pennsylvania MEDICAID 0013935100006
Pennsylvania Other 819775
Pennsylvania Other 2672912
Pennsylvania MEDICAID 0013935100005
Pennsylvania Other 191347
Pennsylvania Other F42891
Pennsylvania Other 50055619
Pennsylvania Other 5301057

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