Bradshaw, Kenneth Wayne

Bradshaw, Kenneth Wayne is an individual health care provider with primary practice located at 11211 Prosperity Farms Rd B107, Palm Beach Gardens FL 33410-3446. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Bradshaw, Kenneth Wayne can be contacted via phone (561) 630-8900.

Contact Information

Primary practice address
11211 Prosperity Farms Rd B107 Palm Beach Gardens FL 33410-3446
Phone: (561) 630-8900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DN13872 Florida

Profile Details

NPI number 1225157977
LBN Legal business name Bradshaw, Kenneth Wayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Jul 8th, 2007 - about 17 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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