Individual
BRADLEY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
204 FRANKIE LN, WHITE HALL, AR 71602-2699
(870) 247-2305
(870) 247-2330
Mailing address
204 FRANKIE LN, WHITE HALL, AR 71602-2699
(870) 247-2305
(870) 247-2330
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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