Bradley, Michael S

Bradley, Michael S is an individual health care provider with primary practice located at 1138 Lexington Rd Ste 110 , Georgetown KY 40324-9673. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bradley, Michael S can be contacted via phone (502) 570-3754.

Contact Information

Primary practice address
1138 Lexington Rd Ste 110 Georgetown KY 40324-9673
Phone: (502) 570-3754
Fax: (502) 570-3756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1825 Kentucky

Profile Details

NPI number 1265860878
LBN Legal business name Bradley, Michael S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2013
Last updated Jun 13th, 2023 - about last year

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 1265860878 NPPES
Kentucky MEDICAID 7100277800

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