CAMIAL BREDEHOEFT
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1538542311- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 20333 W 151ST ST, OLATHE, KS, 660617211
- Phone
- (913) 791-4357
Specialties & Taxonomies
Physician Assistant
License: MO #2016009248
Physician Assistant
Primary License: KS #15-01809