Cederberg, Kevin Bradley
Cederberg, Kevin Bradley is an individual health care provider with primary practice located at 5323 Harry Hines Blvd Department Of Radiology, Dallas TX 75390-8896. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Cederberg, Kevin Bradley can be contacted via phone (214) 648-8004.Contact Information
Primary practice address
5323 Harry Hines Blvd Department Of Radiology
Dallas TX 75390-8896
Phone: (214) 648-8004
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | M6070 | Texas |
Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | M6070 | Texas |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | M6070 | Texas |
Profile Details
NPI number | 1104020296 |
---|---|
LBN Legal business name | Cederberg, Kevin Bradley |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 12th, 2007 |
Last updated | Oct 16th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104020296 | NPPES |
Other | BP1-0018147 | INSTITUTIONAL PERMIT |
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