Individual
DR. BRADLEY JOHN KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 MOUNTAIN VIEW DR, SHELTON, WA 98584-4401
(360) 427-9595
Mailing address
901 MOUNTAIN VIEW DR, SHELTON, WA 98584-4401
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
99621
GA
207P00000X
Emergency Medicine Physician
M-2187
GU
207P00000X
Emergency Medicine Physician
Primary
MD.MD.61283530
WA
208D00000X
General Practice Physician
0101254504
VA
Other
Enumeration date
01/20/2012
Last updated
05/26/2024
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