Individual
KATHLEEN K BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6443 W 10TH ST STE 204, INDIANAPOLIS, IN 46214-6502
(317) 247-9512
Mailing address
6443 W 10TH ST STE 204, INDIANAPOLIS, IN 46214-6502
(317) 247-9512
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12010981A
IN
Other
Enumeration date
08/01/2006
Last updated
06/15/2019
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