Healthcare Provider Details

I. General information

NPI: 1548624489
Provider Name (Legal Business Name): BRADEN DANIEL PRICE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2016
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 WORNALL RD
KANSAS CITY MO
64111-3220
US

IV. Provider business mailing address

4401 WORNALL RD
KANSAS CITY MO
64111-3241
US

V. Phone/Fax

Practice location:
  • Phone: 816-932-2107
  • Fax: 816-932-2843
Mailing address:
  • Phone: 816-932-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number2021006428
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: