Provider Demographics
NPI:1235282591
Name:COSENS, BRAD ALAN (RPH)
Entity Type:Individual
Prefix:MR
First Name:BRAD
Middle Name:ALAN
Last Name:COSENS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8421 RENNER BLVD
Mailing Address - Street 2:APT 6412
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-9706
Mailing Address - Country:US
Mailing Address - Phone:620-224-7019
Mailing Address - Fax:
Practice Address - Street 1:9401 W 74TH STR
Practice Address - Street 2:SUITE 100
Practice Address - City:SHAWNEE MISSION
Practice Address - State:KS
Practice Address - Zip Code:66204
Practice Address - Country:US
Practice Address - Phone:913-632-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0423421835X0200X
KS1-111771835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology