Individual
BRADLEY W STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20375 W 151ST ST #370, PREMIER PLASTIC SURGERY, OLATHE, KS 66061
(913) 782-0707
(913) 782-5813
Mailing address
20375 W 151ST ST, SUITE 370, OLATHE, KS 66061
(913) 782-0707
(913) 782-5813
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
0423438
KS
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0423438
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10012005A
—
KS
01
—
1308048
UNITED HEALTH CARE
KS
01
—
16274034
BLUE CROSS
KS
Enumeration date
11/08/2005
Last updated
08/03/2011
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