Individual
KIRSTEN DAVIES BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1365 W 1000 N, SALT LAKE CITY, UT 84116-1654
(801) 328-5750
(877) 497-4661
Mailing address
1455 W 2200 S STE 300, WEST VALLEY CITY, UT 84119-7219
(801) 412-6920
(877) 497-4661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13564207-1206
UT
Other
Enumeration date
04/28/2021
Last updated
10/30/2023
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