Individual
KEVIN BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1705 GARDNER DR, WILMINGTON, NC 28405
(910) 343-5300
(910) 254-4680
Mailing address
1705 GARDNER DR, WILMINGTON, NC 28405-8873
(910) 343-5300
(910) 254-4680
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO02717
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390434200
—
FL
Enumeration date
10/14/2005
Last updated
08/01/2019
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