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Individual

KAREN BRADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5454
Mailing address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5454

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15561
NH
207V00000X
Obstetrics & Gynecology Physician
2393731
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32001464
NH
01
AETNA
7013832
NY
01
BCBS
P020239373
NY
01
BLUE CHOICE
P010239373
NY
01
HEALTH NOW
000528612001
NY
01
PREFERRED CARE
MDJ358
NY
Enumeration date
05/12/2006
Last updated
10/22/2012
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