Brad Storm MD LLC
Surgery, Plastic and Reconstructive Surgery in Lenexa, KS. Organization (NPI-2).
NPI number1982205308
StatusActive
Last updated in NPPESJan 14, 2021
Details
- NPI
- 1982205308
- Entity type
- Organization (NPI-2)
- Legal business name
- Brad Storm MD LLC
- Organization subpart
- No
- Enumeration date
- Nov 3, 2020
- Certification date
- Jan 14, 2021
- Last updated
- Jan 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | – | – | Yes |
| 2086S0105X | Surgery, Surgery of the Hand | – | – |
Practice location
23351 Prairie Star Pkwy Ste 275Lenexa, KS 66227-6201
Phone 913-815-4701 · Fax 913-815-4703
Mailing address
7500 College Blvd Ste 500Overland Park, KS 66210-4043
Phone 913-815-4705 · Fax 913-915-4703
Authorized official
Cathi S Smith
Practice Manager
9138154705
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