Individual
DR. BRIAN KEITH KRADEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
726 GULF AIRE DR, PORT SAINT JOE, FL 32456-6123
(850) 866-6444
Mailing address
726 GULF AIRE DR, PORT SAINT JOE, FL 32456-6123
(850) 866-6444
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
12932
NV
207L00000X
Anesthesiology Physician
54323
IA
207L00000X
Anesthesiology Physician
Primary
ME63649
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47962
MEDICAL LICENSE
AZ
Enumeration date
06/30/2006
Last updated
02/20/2025
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