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Organization

BRAD STORM MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CATHI S SMITH (PRACTICE MANAGER)
(913) 815-4705
Entity
Organization

Contact information

Practice address
23351 PRAIRIE STAR PKWY STE 275, LENEXA, KS 66227-6201
(913) 815-4701
(913) 815-4703
Mailing address
7500 COLLEGE BLVD STE 500, OVERLAND PARK, KS 66210-4043
(913) 815-4705
(913) 915-4703

Taxonomy

Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100120050C
KS
Enumeration date
11/03/2020
Last updated
01/14/2021
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