Individual
MR. BARRETT BLAKE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1780 NICHOLASVILLE RD, STE 403, LEXINGTON, KY 40503-1400
(859) 260-2580
(859) 260-2585
Mailing address
PO BOX 910670, LEXINGTON, KY 40591-0670
(859) 971-4685
(859) 971-4602
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
23312
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64233125
—
KY
Enumeration date
10/27/2005
Last updated
12/08/2020
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