Individual
KEVIN G. BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CH
Contact information
Practice address
640 ALEXANDER DR STE 107, EUFAULA, OK 74432-4013
(918) 689-2424
(918) 618-4778
Mailing address
PO BOX 930, 640 ALEXANDER SUITE 107, EUFAULA, OK 74432-0930
(918) 689-2424
(918) 618-4778
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
3321
OK
Other
Enumeration date
09/14/2006
Last updated
03/27/2008
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