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Contact Information

BRADLEY H KOFFMAN, MD
5721 W 119TH ST
RADIATION ONCOLOGY DEPT
OVERLAND PARK, KS66209-3722
 Phone: 913-498-6270
 Fax: 913-498-6619
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for BRADLEY H KOFFMAN · (Male)

NPI # 1659334282
Status Active
Credentials MD
Entity Individual
Enumeration date 04/06/2006
Last updated 04/21/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 04-29308
  • MO License # 2001018673
  • KS Medicaid 2087439201
  • MO Medicaid 205378607
Hospital affiliation(s)
  • MENORAH MEDICAL CENTER - (Acute Care)
    5721 WEST 119TH STREET
    OVERLAND PARK, KS 66209
  • OVERLAND PARK REG MED CTR - (Acute Care)
    10500 QUIVIRA ROAD
    OVERLAND PARK, KS 66215
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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