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Individual
BRADLEY L KEES
Active
Individual
BRADLEY L KEES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3603-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38920000
—
WI
01
—
38993900
MEDICAID GROUP
WI
Enumeration date
09/15/2006
Last updated
12/18/2007
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