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Individual

BRADFORD LEE COTTRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1025 NEW MOODY LN, LA GRANGE, KY 40031-9100
(502) 222-3347
Mailing address
110 SEDLEY CT, PEWEE VALLEY, KY 40056-9134

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01074726A
IN
207P00000X
Emergency Medicine Physician
25MA09983100
KY
207P00000X
Emergency Medicine Physician
25MA09983100
NJ
207P00000X
Emergency Medicine Physician
285864
NY
207P00000X
Emergency Medicine Physician
4301110936
MI
207P00000X
Emergency Medicine Physician
Primary
43065
KY
207P00000X
Emergency Medicine Physician
63635
MN
207P00000X
Emergency Medicine Physician
MD.29604
AL

Other

Enumeration date
02/01/2007
Last updated
07/31/2023
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