Provider Demographics
NPI:1740273465
Name:BRATON, KENNETH STEVEN (DO)
Entity type:Individual
Prefix:
First Name:KENNETH
Middle Name:STEVEN
Last Name:BRATON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2330 SHAWNEE MISSION PKWY
Mailing Address - Street 2:MEDICAL ADMINISTRATIVE SERVICES OF KU MED, STE. 312
Mailing Address - City:WESTWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2005
Mailing Address - Country:US
Mailing Address - Phone:913-945-5614
Mailing Address - Fax:913-945-5617
Practice Address - Street 1:1000 E 101ST TER
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-3366
Practice Address - Country:US
Practice Address - Phone:913-945-9660
Practice Address - Fax:913-945-9659
Is Sole Proprietor?:No
Enumeration Date:2005-08-28
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR9426207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
18960020OtherCFU BCBS
P00324156OtherRR MEDICARE#
22039026OtherBCBS PHF AFTER HOURS UC
37157012OtherBCBS HIGHLAND MEDICAL
4001323OtherAETNA
481159444OtherJHPC TAX ID
22039026OtherBCBS PHF AFTER HOURS UC
MOJ614168Medicare PIN