Individual
ABBY NICOLE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(800) 525-1483
Mailing address
5367 HEDGE LANE TER, SHAWNEE, KS 66226-2208
(662) 404-0553
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
0002092858
VA
164W00000X
Licensed Practical Nurse
Primary
48644
KS
Other
Enumeration date
07/05/2017
Last updated
06/16/2018
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