Individual
BRADLEY J. PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7840 W 165TH ST STE 160, OVERLAND PARK, KS 66223-3021
(913) 373-2141
(913) 373-2146
Mailing address
7840 W 165TH ST STE 160, OVERLAND PARK, KS 66223-3021
(913) 373-2141
(913) 373-2146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0525765
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100236180D
—
KS
01
—
S14000230
MEDICARE
KS
Enumeration date
07/05/2006
Last updated
11/03/2021
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