Individual
MR. KEVIN ALAN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
180 GRAFTON LN, BERRYVILLE, VA 22611-2576
(540) 955-2400
Mailing address
9 HANCOCK PL NE, LEESBURG, VA 20176-3321
(571) 214-9871
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002083020
VA
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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