Individual
KAYLA BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1998 HENDERSONVILLE RD STE 45, ASHEVILLE, NC 28803-2192
(828) 232-1955
(828) 232-0329
Mailing address
PO BOX 6130, SPARTANBURG, SC 29304-6130
(864) 583-0053
(864) 583-0147
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-12291
NC
363A00000X
Physician Assistant
PA4771
SC
363AM0700X
Medical Physician Assistant
Primary
0010-12291
NC
363AM0700X
Medical Physician Assistant
PA4771
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316571193
—
NC
Enumeration date
03/02/2020
Last updated
03/28/2024
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