Individual
MR. BRADLEY S WILBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN,MS, CRNA
Contact information
Practice address
1318 E 104TH ST, KANSAS CITY, MO 64131-4504
(816) 256-5200
Mailing address
29800 W 127TH ST STE 100, OLATHE, KS 66061-8636
(913) 405-7814
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-594413-051
KS
163W00000X
Registered Nurse
63533
NE
367500000X
Certified Registered Nurse Anesthetist
2012037456
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
43-556966
KS
Other
Enumeration date
12/15/2009
Last updated
06/19/2025
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