Bradham, Kelly

Bradham, Kelly is an individual health care provider with primary practice located at 5900 E Thomas Rd Apt G103 , Scottsdale AZ 85251-7540. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist, which is considered as his primary health care specialty. Bradham, Kelly can be contacted via phone (623) 205-2747.

Contact Information

Primary practice address
5900 E Thomas Rd Apt G103 Scottsdale AZ 85251-7540
Phone: (623) 205-2747
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist 225A00000X 14053

Profile Details

NPI number 1467028084
LBN Legal business name Bradham, Kelly
Credentials MT-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2021
Last updated Jun 3rd, 2021 - about 3 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 1467028084 NPPES
Other 14053 MUSIC THERAPY BOARD CERTIFICATION (CBMT)

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