Brady, Kenneth Martin

Brady, Kenneth Martin is an individual health care provider with primary practice located at 6410 Fannin St Ste 370 , Houston TX 77030-3004. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Brady, Kenneth Martin can be contacted via phone (713) 704-2238.

Contact Information

Primary practice address
6410 Fannin St Ste 370 Houston TX 77030-3004
Phone: (713) 704-2238
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 036147128 Illinois
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 036147128 Illinois
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 48184 Texas
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 48184 Texas

Profile Details

NPI number 1720170665
LBN Legal business name Brady, Kenneth Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Feb 19th, 2024 - about 2 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 1720170665 NPPES
Illinois MEDICAID 036147128

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