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Individual
JOHN L KREADY
Active
Individual
JOHN L KREADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18736
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024372
BCBS
KS
01
—
100356
HPK
KS
01
—
12149369
MULTIPLAN
KS
01
—
16851
COVENTRY
KS
01
—
502
PHS
KS
Enumeration date
07/03/2006
Last updated
07/13/2007
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