Bradley Samakin
Bradley Samakin is a Student in an Organized Health Care Education/Training Program in Wichita, Kansas. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1010 N Kansas StWichita, KS 67214-3124
Phone: (316) 293-2635
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1780405860 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 21, 2024 |
| Last updated in NPPES | October 21, 2024 |
| Certification date | October 21, 2024 |
| Mailing address | 1010 N Kansas St, Wichita, KS 67214-3124 |
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