Individual
MR. KEVIN MICHAEL BRADY
Active
Individual
MR. KEVIN MICHAEL BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
10489
ND
207L00000X
Anesthesiology Physician
44931-20
WI
207L00000X
Anesthesiology Physician
Primary
A68632
CA
207L00000X
Anesthesiology Physician
Q0875
TX
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
44931-20
WI
207P00000X
Emergency Medicine Physician
44931-20
WI
207P00000X
Emergency Medicine Physician
Q0875
TX
207R00000X
Internal Medicine Physician
40235
MN
207R00000X
Internal Medicine Physician
44931-020
WI
207R00000X
Internal Medicine Physician
5615
SD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
44931-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A686320
—
CA
05
—
14207
—
ND
05
—
34505900
—
WI
05
—
749726100
—
MN
Enumeration date
06/15/2006
Last updated
10/11/2021
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