Individual
BRADBURY SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
544 CENTRE VIEW BLVD., CRESTVIEW HILLS, KY 41017-3400
(513) 221-1100
(859) 341-3913
Mailing address
PO BOX 643398, CINCINNATI, OH 45264-3398
(513) 221-1100
(513) 569-5297
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
31352
KY
207T00000X
Neurological Surgery Physician
35.068349
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64938517
—
KY
Enumeration date
08/25/2006
Last updated
05/27/2020
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