Bradshaw, Kelly Lyn
Bradshaw, Kelly Lyn is an individual health care provider with primary practice located at 9815 Reeck Rd , Allen Park MI 48101-1356. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bradshaw, Kelly Lyn can be contacted via phone (313) 383-8969.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 2901019980 | Michigan |
Profile Details
NPI number | 1811123011 |
---|---|
LBN Legal business name | Bradshaw, Kelly Lyn |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2009 |
Last updated | Aug 1st, 2011 - about 13 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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