Individual
KATHY BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6502 MARINA DR, CLAY, MI 48001-4219
(586) 242-6047
Mailing address
6502 MARINA DR, CLAY, MI 48001-4219
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703118015
MI
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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