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Individual

BRADY HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
8800 BLUE RIDGE BLVD, KANSAS CITY, MO 64138-4000
(816) 321-2200
(816) 599-5929
Mailing address
3717 S WHITNEY AVE, INDEPENDENCE, MO 64055-6740
(913) 297-7472
(816) 398-6688

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
05-38098
KS
207Q00000X
Family Medicine Physician
Primary
2015030395
MO

Other

Enumeration date
05/31/2012
Last updated
11/22/2022
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