Individual
BRADY L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4320 WORNALL RD, SUITE 710, KANSAS CITY, MO 64111-5941
(816) 932-2700
(816) 932-2705
Mailing address
901 E. 104TH ST., MAILSTOP 400N, KANSAS CITY, MO 64131
(816) 502-8756
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
MO
363AS0400X
Surgical Physician Assistant
—
MO
Other
Enumeration date
10/05/2011
Last updated
11/16/2017
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