Individual
MR. KEVIN MICHAEL BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 DOLBEER ST, EUREKA, CA 95501-4736
(707) 445-8121
Mailing address
PO BOX 25033, SANTA ANA, CA 92799-5033
(800) 883-7243
(714) 647-1245
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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