Individual
CHRISTINE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2401 GILLHAM ROAD, ATTN: PROVIDER ENROLLMENT DEPARTMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Mailing address
2401 GILLHAM ROAD, ATTN: PROVIDER ENROLLMENT DEPARTMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2021047184
MO
363LP0200X
Pediatric Nurse Practitioner
53-80733-121
KS
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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