Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 01-05336 | KS |
NPI | 1285942789 |
---|---|
Provider Name | Dr. Brad D Herman |
First Address | Parsons, KS 67357 |
Second Address | Parsons, KS 67357 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2010 |
Last Update Date | 17/09/2010 |