Individual
ALICIA ELISABETH BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9609 3RD STREET RD, LOUISVILLE, KY 40272-2601
(330) 265-0702
Mailing address
9609 3RD STREET RD, LOUISVILLE, KY 40272-2601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013425
KY
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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