Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 04-36282 | KS |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 04-36282 | KS |
NPI | 1437310307 |
---|---|
Provider Name | Dr. Bradley John Seaman |
First Address | Lees Summit, MO 64064-2368 |
Second Address | Overland Park, KS 66209-3721 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 31/12/2018 |