Individual
BRADLEY L KEES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
113 SHERMAN AVE W, FORT ATKINSON, WI 53538-1732
(920) 563-2281
Mailing address
601 S 32ND AVE, WAUSAU, WI 54401-3958
(715) 848-2526
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3603-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38920000
—
WI
01
—
38993900
MEDICAID GROUP
WI
Enumeration date
09/15/2006
Last updated
12/18/2007
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