Individual
ELIZABETH BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4001 KRESGE WAY STE 330, LOUISVILLE, KY 40207-4640
(150) 221-2266
Mailing address
4001 KRESGE WAY STE 330, LOUISVILLE, KY 40207-4640
(150) 221-2266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3025
KY
Other
Enumeration date
07/07/2022
Last updated
09/24/2024
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