Provider Demographics
NPI:1891767562
Name:RANCE, BRADEN RAY (MD)
Entity Type:Individual
Prefix:DR
First Name:BRADEN
Middle Name:RAY
Last Name:RANCE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:10777 NALL AVE
Mailing Address - Street 2:#220
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1362
Mailing Address - Country:US
Mailing Address - Phone:913-469-0110
Mailing Address - Fax:913-469-6579
Practice Address - Street 1:10777 NALL AVE
Practice Address - Street 2:#220
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1362
Practice Address - Country:US
Practice Address - Phone:913-469-0110
Practice Address - Fax:913-469-6579
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2010-11-03
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Provider Licenses
StateLicense IDTaxonomies
KS04-31823207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
K28E784Medicare Oscar/Certification
I49727Medicare UPIN