Individual
DR. KELLY MARIE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1848 HOPE AVE, SUITE #2, KINGMAN, AZ 86401
(928) 753-5200
(928) 753-5205
Mailing address
1848 HOPE AVE, SUITE #2, KINGMAN, AZ 86401
(928) 753-5200
(928) 753-5205
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7614
AZ
Other
Enumeration date
07/25/2008
Last updated
10/06/2015
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