Individual
BRADLEY KEITH HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2012 VANESTA PL STE 220, MANHATTAN, KS 66503-4101
(857) 064-3277
(785) 600-2225
Mailing address
2012 VANESTA PL STE 220, MANHATTAN, KS 66503-4101
(785) 706-4327
(785) 600-2225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-33249
KS
207Q00000X
Family Medicine Physician
2007001609
MO
Other
Enumeration date
02/09/2007
Last updated
06/17/2024
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