Individual
DR. KAREN MARY BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1205 GRAMPIAN BLVD, SUITE 1D, WILLIAMSPORT, PA 17701-1978
(570) 320-7880
(570) 320-7882
Mailing address
1201 GRAMPIAN BLVD, SUITE 1K, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS005273L
PA
207R00000X
Internal Medicine Physician
OS005273L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013935100005
—
PA
05
—
0013935100006
—
PA
01
—
191347
HIGHMARK BLUE SHIELD
PA
01
—
2672912
UNITEDHEALTHCARE
PA
01
—
50055619
CAPITAL BLUE CROSS
PA
01
—
5301057
AETNA
PA
01
—
819775
FIRST PRIORITY HEALTH
PA
01
—
F42891
HEALTHAMERICA
PA
Enumeration date
03/08/2006
Last updated
10/19/2011
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