Individual
MRS. KATHLEEN QUINTANA BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1523 ELIZABETH AVE., SUITE 200, CHARLOTTE, NC 28204
(704) 910-1402
(704) 910-1506
Mailing address
1523 ELIZABETH AVE., SUITE 200, CHARLOTTE, NC 28204
(704) 910-1402
(704) 910-1506
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06215
NC
Other
Enumeration date
07/11/2016
Last updated
12/14/2017
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