Individual
MICHAEL S BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1138 LEXINGTON RD STE 110, GEORGETOWN, KY 40324-9673
(502) 570-3754
(502) 570-3756
Mailing address
404 SHOPPERS DR, WINCHESTER, KY 40391-1301
(859) 737-5333
(859) 737-0070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1825
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100277800
—
KY
Enumeration date
10/16/2013
Last updated
05/16/2025
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