Individual
KIMBERLY BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5919 OLEANDER DR, WILMINGTON, NC 28403-4780
(910) 395-2995
Mailing address
5919 OLEANDER DR, WILMINGTON, NC 28403-4780
(910) 395-2995
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3079
NC
Other
Enumeration date
10/21/2015
Last updated
10/22/2015
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