Organization
KEVIN G. BRADLEY P.C.
Active
Other names
Professional Office of Dr Kevin G Bradley PC,Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN GARNER BRADLEY D.C. (PRESIDENT/OWNER)
(918) 689-2424
Entity
Organization
Contact information
Practice address
640 ALEXANDER DR STE 107, EUFAULA, OK 74432-4013
(918) 689-2424
(918) 618-4778
Mailing address
PO BOX 930, EUFAULA, OK 74432-0930
(918) 689-2424
(918) 618-4778
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
3321
OK
Other
Enumeration date
09/20/2006
Last updated
03/27/2008
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