Individual
BRADEN DUNBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2000 NE VIVION RD, SUITE 100, KANSAS CITY, MO 64118-6127
(816) 453-1314
(816) 453-3434
Mailing address
2000 NE VIVION RD, SUITE 100, KANSAS CITY, MO 64118-6127
(816) 453-1314
(816) 453-3434
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
218279362
MO
207Q00000X
Family Medicine Physician
5101019408
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265720395
—
MO
Enumeration date
07/11/2011
Last updated
01/16/2017
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