Individual
BRADLEY STEPHEN PECK ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3804
(304) 526-2000
Mailing address
168 TIMBERLAKE CIR, SCOTT DEPOT, WV 25560-9401
(304) 550-8184
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
90826
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
113371
WV
Other
Enumeration date
03/22/2022
Last updated
02/08/2023
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