Bradley, Kristin R

Bradley, Kristin R is an individual health care provider with primary practice located at 2215 44Th St Sw , Wyoming MI 49519-6439. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bradley, Kristin R can be contacted via phone (616) 252-8300.

Contact Information

Primary practice address
2215 44Th St Sw Wyoming MI 49519-6439
Phone: (616) 252-8300
Fax: (616) 252-8460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704224909 Michigan

Profile Details

NPI number 1669643060
LBN Legal business name Bradley, Kristin R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2008
Last updated Nov 17th, 2009 - about 15 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 1669643060 NPPES
Michigan MEDICAID 1669643060

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