Bradshaw, Mary K

Bradshaw, Mary K is an individual health care provider with primary practice located at 1508 Greenup Ave Ste 1, Ashland KY 41101-7614. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Bradshaw, Mary K can be contacted via phone (859) 254-1035.

Contact Information

Primary practice address
1508 Greenup Ave Ste 1 Ashland KY 41101-7614
Phone: (859) 254-1035
Fax: (859) 254-2075
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 104911 Kentucky
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 104911 Kentucky

Profile Details

NPI number 1588733208
LBN Legal business name Bradshaw, Mary K
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Mar 22nd, 2017 - about 7 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 1588733208 NPPES
Kentucky MEDICAID 7100391530
Kentucky MEDICAID 30615058

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