Kradel, Brian Keith

Kradel, Brian Keith is an individual health care provider with primary practice located at 3269 N Stockton Hill Rd , Kingman AZ 86409-3619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kradel, Brian Keith can be contacted via phone (928) 263-4722.

Contact Information

Primary practice address
3269 N Stockton Hill Rd Kingman AZ 86409-3619
Phone: (928) 263-4722
Fax: (928) 263-4794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2009-00758 North Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME0063649 Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 47962 Arizona

Profile Details

NPI number 1356370852
LBN Legal business name Kradel, Brian Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Apr 17th, 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 1356370852 NPPES
Arizona Other 47962 MEDICAL LICENSE

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