Individual
KIM E BRAGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11875 S SUNSET DR, OLATHE, KS 66061-2793
(913) 477-8351
(913) 826-1300
Mailing address
11875 S SUNSET DR, OLATHE, KS 66061-2793
(913) 477-8351
(913) 826-1300
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
1345168092
KS
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
5344304092
KS
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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