Bradley, Kenya Denise

Bradley, Kenya Denise is an individual health care provider with primary practice located at 401 S Tustin St , Orange CA 92866. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Bradley, Kenya Denise can be contacted via phone (714) 361-4860.

Contact Information

Primary practice address
401 S Tustin St Orange CA 92866
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1922578590
LBN Legal business name Bradley, Kenya Denise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2018
Last updated Nov 27th, 2018 - about 7 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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