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Individual
JANET E BRADSHAW
Active
Individual
JANET E BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0525477
KS
208D00000X
General Practice Physician
0525477
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100236250B
—
KS
05
—
100236250J
—
KS
01
—
102060
BCBS
KS
Enumeration date
04/26/2006
Last updated
08/12/2019
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