Individual
BRADLEY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2308 BROWNING AVE, MANHATTAN, KS 66502-1934
(785) 384-8714
(785) 414-5410
Mailing address
2308 BROWNING AVE, MANHATTAN, KS 66502-1934
(785) 384-8714
(785) 414-5410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12957
KS
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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