Individual
KEVIN K. BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 272-9641
(405) 235-0738
Mailing address
608 NW 9TH ST STE 6210, OKLAHOMA CITY, OK 73102-1069
(405) 272-9641
(405) 235-0738
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
306582
LA
207L00000X
Anesthesiology Physician
Primary
32644
OK
Other
Enumeration date
04/10/2013
Last updated
10/26/2018
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