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
Phone: (401) 845-2113
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932182615 | NPPES |
Rhode Island | MEDICAID | KB 91558 |
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