Individual
KATHLEEN CUNEO BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3193 HOWELL MILL RD NW, SUITE 317, ATLANTA, GA 30327-2119
(404) 603-9090
(404) 603-9634
Mailing address
3193 HOWELL MILL RD NW, SUITE 317, ATLANTA, GA 30327-2119
(404) 603-9090
(404) 603-9634
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN145172
GA
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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