Bradshaw, Kenneth Gerard

Bradshaw, Kenneth Gerard is an individual health care provider with primary practice located at 19 Friendship St Family Physicians Of Newport, Suite 130, Newport RI 02840-2272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bradshaw, Kenneth Gerard can be contacted via phone (401) 845-2113.

Contact Information

Primary practice address
19 Friendship St Family Physicians Of Newport, Suite 130 Newport RI 02840-2272
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 158732 Massachusetts

Profile Details

NPI number 1932182615
LBN Legal business name Bradshaw, Kenneth Gerard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2005
Last updated Jul 11th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932182615 NPPES
Rhode Island MEDICAID KB 91558

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