Individual
DR. BRADFORD ALAN QUATKEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 VIOLET RD, CRITTENDEN, KY 41030-8956
(859) 428-1610
(859) 428-3923
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 428-1610
(859) 428-3923
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32259
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159104
MEDICAID
OH
05
—
64322597
—
KY
01
—
K252620
KY MEDICARE
KY
Enumeration date
03/29/2006
Last updated
09/07/2021
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