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NPI Code Detail

MEDICARE: DR. BRADFORD OLNEY MD

MEDICARE: DR. BRADFORD OLNEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0120XPediatric Surgery Physician110638MO
2207XP3100XPediatric Orthopaedic Surgery Physician110638MO
3207XP3100XPediatric Orthopaedic Surgery Physician04-19849KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316997786
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRADFORD OLNEY MD
Provider Business Mailing Address
First Line : 2401 GILLHAM RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-4619
Country : US
Telephone Number : 816-234-3000
Fax Number :
Provider Business Practice Location Address
First Line : 2401 GILLHAM RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-4619
Country : US
Telephone Number : 816-234-3693
Fax Number : 816-855-1993
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 02/09/2016

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Directions to “ DR. BRADFORD OLNEY MD” Practice Location

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