Bradshaw, Kacy Lee

Bradshaw, Kacy Lee is an individual health care provider with primary practice located at 939 Oak St Se , Salem OR 97301-3901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Bradshaw, Kacy Lee can be contacted via phone (503) 814-3561.

Contact Information

Primary practice address
939 Oak St Se Salem OR 97301-3901
Phone: (503) 814-3561
Fax: (503) 814-3560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 201050101NP Oregon

Profile Details

NPI number 1972816593
LBN Legal business name Bradshaw, Kacy Lee
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2010
Last updated Jul 24th, 2010 - about 14 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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