Brader, Kevin R

Brader, Kevin R is an individual health care provider with primary practice located at 5900 Byron Center Ave Sw , Wyoming MI 49519-9606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Brader, Kevin R can be contacted via phone (616) 350-2697.

Contact Information

Primary practice address
5900 Byron Center Ave Sw Wyoming MI 49519-9606
Phone: (616) 350-2697
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 4301083612 Michigan

Profile Details

NPI number 1609807627
LBN Legal business name Brader, Kevin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Feb 1st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609807627 NPPES
Michigan MEDICAID 4608995
Michigan MEDICAID 4877984
Michigan MEDICAID 4807756
Michigan MEDICAID 4876815

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