Individual
DR. KELLY TODD BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2864 BENNETTS POND RD, WILLIAMSBURG, VA 23185-7549
(617) 733-5485
Mailing address
2864 BENNETTS POND RD, WILLIAMSBURG, VA 23185-7549
(617) 733-5485
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
0101276609
VA
2085R0202X
Diagnostic Radiology Physician
34495
AL
Other
Enumeration date
06/23/2010
Last updated
12/14/2022
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