Individual
KIM MARIE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4485 PAHEE ST STE 150, LIHUE, HI 96766-2018
(920) 385-8271
Mailing address
4441 RICE ST UNIT 1565, LIHUE, HI 96766-4060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
17643-030
WI
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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