Individual
MR. MICHAEL R BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7739 STATE AVE, KANSAS CITY, KS 66112-2819
(913) 788-8168
Mailing address
7739 STATE AVE, KANSAS CITY, KS 66112-2819
(913) 788-8168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
040404
MO
183500000X
Pharmacist
Primary
11285
KS
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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