Individual
JANET E BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1501 W 7TH ST STE 2, CHANUTE, KS 66720-2516
(620) 432-5588
(620) 431-1192
Mailing address
PO BOX 426, CHANUTE, KS 66720-0426
(620) 432-5588
(620) 431-1192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0525477
KS
208D00000X
General Practice Physician
0525477
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100236250B
—
KS
05
—
100236250J
—
KS
01
—
102060
BCBS
KS
Enumeration date
04/26/2006
Last updated
08/12/2019
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