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Individual
KENNETRA BRADSHAW
Active
Individual
KENNETRA BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
261387
KY
133V00000X
Registered Dietitian
LD08373
OH
Other
Enumeration date
11/09/2017
Last updated
02/19/2021
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