Individual
MR. BRADLEY V BLUESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2001 NEWBURG RD, LOUISVILLE, KY 40205-1863
(502) 272-8379
Mailing address
10305 COOPERWOOD CT, LOUISVILLE, KY 40229-2276
(502) 969-4310
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT142
KY
Other
Enumeration date
08/31/2006
Last updated
12/06/2012
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