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Individual

KENNETH MARTIN BRADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6410 FANNIN ST STE 370, HOUSTON, TX 77030-3004
(713) 704-2238
Mailing address
6410 FANNIN ST STE 370, HOUSTON, TX 77030-3004
(713) 704-2238

Taxonomy

Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
036147128
IL
207LP3000X
Pediatric Anesthesiology Physician
036147128
IL
207LP3000X
Pediatric Anesthesiology Physician
48184
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
48184
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036147128
IL
Enumeration date
09/29/2006
Last updated
02/19/2024
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