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Individual

BRADFORD A KILCLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1035 116TH AVENUE NE, BELLEVUE, WA 98004
(425) 688-5759
(425) 688-5101
Mailing address
PO BOX 34960, SEATTLE, WA 98124-1960
(425) 688-5759
(425) 688-5101

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41307
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8523131
WA
Enumeration date
09/06/2006
Last updated
06/04/2013
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