Individual
KENNETH STEVEN BRATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 E 101ST TER, KANSAS CITY, MO 64131-3366
(913) 945-9660
(913) 945-9659
Mailing address
2330 SHAWNEE MISSION PKWY, MEDICAL ADMINISTRATIVE SERVICES OF KU MED, STE. 312, WESTWOOD, KS 66205-2005
(913) 945-5614
(913) 945-5617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R9426
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18960020
CFU BCBS
—
01
—
22039026
BCBS PHF AFTER HOURS UC
—
01
—
37157012
BCBS HIGHLAND MEDICAL
—
01
—
4001323
AETNA
—
01
—
481159444
JHPC TAX ID
—
01
—
P00324156
RR MEDICARE#
—
Enumeration date
08/28/2005
Last updated
12/08/2023
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