Individual
KELSEY BRADBURY KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 S UNIVERSITY AVE STE 615, LITTLE ROCK, AR 72205-5308
(501) 664-4044
(501) 664-4064
Mailing address
500 S UNIVERSITY AVE STE 615, LITTLE ROCK, AR 72205-5308
(501) 664-4044
(501) 664-4064
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E-14361
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272153001
—
AR
Enumeration date
04/02/2018
Last updated
07/08/2022
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