Woods, Bradley Keith

Woods, Bradley Keith is an individual health care provider with primary practice located at 823 Sw Mulvane St , Topeka KS 66606-1764. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Woods, Bradley Keith can be contacted via phone (785) 354-9591.

Contact Information

Primary practice address
823 Sw Mulvane St Topeka KS 66606-1764
Phone: (785) 354-9591
Fax: (785) 368-0739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 04-33182 Kansas
Allopathic & Osteopathic Physicians / Surgery 208600000X 024675 Louisiana

Profile Details

NPI number 1477637148
LBN Legal business name Woods, Bradley Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Apr 28th, 2017 - about 8 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 1477637148 NPPES
Kansas Other 068002013 MEDICARE PTAN
Kansas MEDICAID 200558410A MEDICARE PTAN

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