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Organization
BRAD STORM MD LLC
Active
Organization
BRAD STORM MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHI S SMITH (PRACTICE MANAGER)
(913) 815-4705
Entity
Organization
Contact information
Practice address
23351 PRAIRIE STAR PKWY STE 275, LENEXA, KS 66227-6201
(913) 815-4701
(913) 815-4703
Mailing address
7500 COLLEGE BLVD STE 500, OVERLAND PARK, KS 66210-4043
(913) 815-4705
(913) 915-4703
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100120050C
—
KS
Enumeration date
11/03/2020
Last updated
01/14/2021
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