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Individual

MR. BRADLY KENNETH LEROY BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4003 CREEKSIDE LOOP, YAKIMA, WA 98908-3962
(509) 746-4125
Mailing address
4003 CREEKSIDE LOOP, YAKIMA, WA 98908-3962

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA965
ID
207RG0100X
Gastroenterology Physician
PA60639841
WA

Other

Enumeration date
08/03/2011
Last updated
01/13/2026
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