Individual
MS. KATHRYN ANN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, CD06
Contact information
Practice address
1004 GEORGE AVE, ROCKLEDGE, FL 32955-3802
(321) 213-1112
Mailing address
1004 GEORGE AVE, ROCKLEDGE, FL 32955-3802
(321) 213-1112
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
10420859
FL
374J00000X
Doula
—
—
Other
Enumeration date
01/24/2013
Last updated
12/19/2018
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