Individual
BRADLEY KLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10710 CHARTER DR, COLUMBIA, MD 21044-3128
(410) 955-5000
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(239) 343-0550
(239) 343-4013
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008879
MD
363A00000X
Physician Assistant
PA09183
TX
363A00000X
Physician Assistant
PA9106331
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004312000
—
FL
05
—
341221501
—
TX
Enumeration date
11/16/2011
Last updated
11/04/2024
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