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Individual
BRADLEY E KOCIAN
Active
Individual
BRADLEY E KOCIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36894
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350662
ANTHEM / NMA
—
01
—
000052155H
HUMANA / NMA
—
01
—
035903
SIHO / NMA
—
01
—
1191695
CHA / NMA
—
01
—
1839771
CIGNA / NMA
—
01
—
2689211000
PASSPORT ADVANTAGE / NMA
—
01
—
50009782
PASSPORT / NMA
—
05
—
64041445
—
KY
01
—
P00206866
RAILROAD MEDICARE / NMA
KY
Enumeration date
04/20/2006
Last updated
10/17/2024
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