Individual
BRADLEY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 PEEBLES AVE, FRANKLIN, KY 42134-1637
(270) 223-8006
Mailing address
203 PEEBLES AVE, FRANKLIN, KY 42134-1637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1121946
KY
Other
Enumeration date
10/30/2009
Last updated
10/30/2009
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