Bradshaw, Kelly Todd

Bradshaw, Kelly Todd is an individual health care provider with primary practice located at 1350 S Kings Dr , Charlotte NC 28207-2134. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Bradshaw, Kelly Todd can be contacted via phone (704) 446-1255.

Contact Information

Primary practice address
1350 S Kings Dr Charlotte NC 28207-2134
Phone: (704) 446-1255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 5008932 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5008932 North Carolina

Profile Details

NPI number 1295283182
LBN Legal business name Bradshaw, Kelly Todd
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2016
Last updated Jul 15th, 2024 - about 2 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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