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Individual

BRADLEY JOSEPH MCILNAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11011 HASKELL AVE, KANSAS CITY, KS 66109-8500
(913) 667-5667
(913) 791-4219
Mailing address
5800 FOXRIDGE DR, SUITE 240, MISSION, KS 66202-2333
(913) 261-3153
(913) 262-3295

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-31921
KS
2085R0202X
Diagnostic Radiology Physician
2006013165
MO
2085R0202X
Diagnostic Radiology Physician
L3394
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200386020A
KS
05
200386020B
KS
05
201004009
MO
Enumeration date
04/12/2006
Last updated
08/01/2013
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