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Individual

KELLY BRADSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1700 CENTER ST, MOBILE, AL 36604-3301
(251) 415-1055
(251) 415-1045
Mailing address
PO BOX 746450, ATLANTA, GA 30374-6450
(866) 401-3057
(318) 868-6430

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1-097794
AL

Other

Enumeration date
02/04/2026
Last updated
02/04/2026
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