Bradford, Deborah

Bradford, Deborah is an individual health care provider with primary practice located at 1100 Walnut St , Owensboro KY 42301-2956. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Behavioral Health & Social Service Providers / Psychologist. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bradford, Deborah can be contacted via phone (270) 689-6500.

Contact Information

Primary practice address
1100 Walnut St Owensboro KY 42301-2956
Phone: (270) 689-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3911P Kentucky
Behavioral Health & Social Service Providers / Psychologist 103T00000X 130764 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3003911 Kentucky

Profile Details

NPI number 1982646998
LBN Legal business name Bradford, Deborah
Credentials ARNP, PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Dec 14th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982646998 NPPES
Kentucky MEDICAID 7100155960

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