Kedra, Brian Michael

Kedra, Brian Michael is an individual health care provider with primary practice located at 73 Old Dublin Pike Ste 6 , Doylestown PA 18901-2491. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kedra, Brian Michael can be contacted via phone (215) 489-1701.

Contact Information

Primary practice address
73 Old Dublin Pike Ste 6 Doylestown PA 18901-2491
Phone: (215) 489-1701
Fax: (215) 489-1705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X J10002272 Delaware
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT018889 Pennsylvania

Profile Details

NPI number 1366647703
LBN Legal business name Kedra, Brian Michael
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2007
Last updated Sep 17th, 2014 - about 10 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 1366647703 NPPES
Other 1366647703 TRICARE CHAMPUS
MEDICAID 1366647703 TRICARE CHAMPUS
Other 2872734000 TRICARE CHAMPUS
Other 92830401 TRICARE CHAMPUS
Other 5070-0085 TRICARE CHAMPUS
Other 11796745 TRICARE CHAMPUS
Other 2066834 TRICARE CHAMPUS
Other 2872734000 TRICARE CHAMPUS

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