Individual
KELLI BROOKE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5255 E STOP 11 RD STE 440, INDIANAPOLIS, IN 46237-6341
(317) 528-7525
(317) 788-1097
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008562A
IN
Other
Enumeration date
11/21/2018
Last updated
04/14/2023
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