Individual
DR. MALLORY K BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
432 LAKE ST., FULTON, KY 42041
(270) 472-9550
(270) 282-8081
Mailing address
432 LAKE ST., FULTON, KY 42041
(270) 472-9550
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5410
KY
111N00000X
Chiropractor
CH10894
FL
Other
Enumeration date
05/14/2013
Last updated
10/23/2013
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