Individual
BRADLEY JOHN KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1702 SCHEURING RD STE C, DE PERE, WI 54115-9567
(920) 227-1331
(920) 632-7870
Mailing address
1702 SCHEURING RD STE C, DE PERE, WI 54115-9567
(920) 227-1331
(920) 632-7870
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2502-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38930200
—
WI
Enumeration date
03/20/2006
Last updated
06/07/2023
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