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

Primary practice address
9815 Reeck Rd Allen Park MI 48101-1356
Phone: (313) 383-8969
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

Request for update

Popular Providers