Brady, Kevin

Brady, Kevin is an individual health care provider with primary practice located at 1705 Gardner Dr , Wilmington NC 28405. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Brady, Kevin can be contacted via phone (910) 343-5300.

Contact Information

Primary practice address
1705 Gardner Dr Wilmington NC 28405
Phone: (910) 343-5300
Fax: (910) 254-4680
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO02717 Florida

Profile Details

NPI number 1104815927
LBN Legal business name Brady, Kevin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Aug 1st, 2019 - about 7 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 1104815927 NPPES
Florida MEDICAID 390434200

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