Individual
BRADLEY WILLIAM CAROLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4687 INDIAN CREEK PKWY, OVERLAND PARK, KS 66207-4011
(913) 648-8111
(888) 349-7046
Mailing address
4687 INDIAN CREEK PKWY, OVERLAND PARK, KS 66207-4011
(913) 648-8111
(888) 349-7046
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
KS-01-05421
KS
111NS0005X
Sports Physician Chiropractor
Primary
KS-01-05421
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12285054
CAQH
—
Enumeration date
06/06/2014
Last updated
01/04/2023
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