Individual
BRADY SKJERVEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(913) 980-0114
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(913) 980-0114
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2016021958
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910033089
—
MO
Enumeration date
03/30/2016
Last updated
12/03/2020
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