Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KURT RUSSELL BRAVATA, M.D.
ActiveDR. KURT RUSSELL BRAVATA, M.D. is a General Practice healthcare provider located in BUFFALO, Missouri. NPI 1790096170 is currently active in the NPPES registry. Verify at CMS.
General Practice · BUFFALO, MO
Registration Details
- NPI Number
- 1790096170
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2010 (16.104314824248 yrs)
- Last Updated
- Dec 29, 2016
- License
-
2013030074 (MO)
Practice Information
- Address
-
201 S ASH STBUFFALO, MO, 656228674Browse MO providers · Browse ZIP 65622
- Phone
- 4173456100
- Fax
- 4173456866
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.