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NPI Code Detail

MEDICARE: KYRSTEN BRADER

MEDICARE: KYRSTEN BRADER
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1053288407
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYRSTEN BRADER
Provider Business Mailing Address
First Line : 405 LANCASTER AVE
Second Line :
City : GREER
State : SC
Zip : 29650-1235
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 405 LANCASTER AVE
Second Line :
City : GREER
State : SC
Zip : 29650-1235
Country : US
Telephone Number : 864-877-3052
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2025
Last Update Date : 10/21/2025

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Directions to “ KYRSTEN BRADER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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