Individual
KELLY BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
1100 WALNUT ST, SUITE 217, OWENSBORO, KY 42301-2956
(270) 689-6500
Mailing address
1100 WALNUT ST, SUITE 217, OWENSBORO, KY 42301-2956
(270) 689-6500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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