Bradshaw, Kevin
Bradshaw, Kevin is an individual health care provider with primary practice located at 620 John Paul Jones Cir Code-1121, Portsmouth VA 23708-2111. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bradshaw, Kevin can be contacted via phone (757) 953-5861.Contact Information
Primary practice address
620 John Paul Jones Cir Code-1121
Portsmouth VA 23708-2111
Phone: (757) 953-5861
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LSW0000003054 | Tennessee |
Profile Details
| NPI number | 1730169012 |
|---|---|
| LBN Legal business name | Bradshaw, Kevin |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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