Individual
BRANDON BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1000
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2022030605
MO
Other
Enumeration date
04/06/2017
Last updated
08/15/2022
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