Individual
MR. BRIAN MICHAEL KEDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
73 OLD DUBLIN PIKE STE 6, DOYLESTOWN, PA 18901-2491
(215) 489-1701
(215) 489-1705
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
J10002272
DE
225100000X
Physical Therapist
Primary
PT018889
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11796745
CAQH
—
01
—
1366647703
TRICARE CHAMPUS
—
05
—
1366647703
—
DE
01
—
2066834
PA BS
—
01
—
2872734000
AMERIHEALTH IBC
—
01
—
5070-0085
CARE FIRST
—
01
—
92830401
NCA
—
Enumeration date
06/17/2007
Last updated
12/27/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us