Individual
MR. BRANDON K FRALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1100 HIGHLAND DR, FL 3, CONCORDIA, KS 66901-3923
(785) 243-4275
(785) 243-4275
Mailing address
1100 HIGHLAND DR, FL 3, CONCORDIA, KS 66901-3923
(785) 243-4272
(785) 243-4275
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1425
NE
363A00000X
Physician Assistant
15-01635
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201088600A
—
KS
Enumeration date
02/03/2009
Last updated
03/20/2020
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