Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | 0423438 | KS |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 0423438 | KS |
NPI | 1457332454 |
---|---|
Provider Name | Bradley W Storm |
First Address | Olathe, KS 66061 |
Second Address | Olathe, KS 66061 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2005 |
Last Update Date | 03/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10012005A | (05) | KS |
1308048 | UNITED HEALTH CARE (01) | KS |
16274034 | BLUE CROSS (01) | KS |
E59309 | (02) |