Koffman, Bradley H

Koffman, Bradley H is an individual health care provider with primary practice located at 5721 W 119Th St Radiation Oncology Dept, Overland Park KS 66209-3722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Koffman, Bradley H can be contacted via phone (913) 498-6270.

Contact Information

Primary practice address
5721 W 119Th St Radiation Oncology Dept Overland Park KS 66209-3722
Phone: (913) 498-6270
Fax: (913) 498-6619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 2001018673 Missouri
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 04-29308 Kansas

Profile Details

NPI number 1659334282
LBN Legal business name Koffman, Bradley H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Apr 21st, 2015 - about 11 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 1659334282 NPPES
Kansas MEDICAID 2087439201
Kansas MEDICAID 205378607

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