Kenneth Bradshaw is a Podiatrist in Clinton, Missouri. Kenneth Bradshaw practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Kenneth Bradshaw is 1134197924. The last update date is 2009-12-29.
Kenneth Bradshaw's current location address is 1602 N 2nd St, Clinton, Missouri. You can contact this provider via phone number 6608858171 and fax number 6608908485. The mailing address for Kenneth Bradshaw is 1602 N 2nd St, Clinton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Bradshaw |
|---|---|
| Address | 1602 N 2nd St, Clinton, Missouri |
| Phone Number | 6608858171 |
| Fax Number | 6608908485 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1134197924 |
|---|---|
| Provider Enumeration Date | 2006-03-09 |
| Last Updated Date | 2009-12-29 |
Provider Mailing Address Detail
| Address | 1602 N 2nd St |
|---|---|
| City | Clinton |
| State | Missouri (MO) |
| Post Code | 647351192 |
| Phone Number | 6608858171 |
| Fax Number | 6608908485 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 385 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kenneth Bradshaw by the Centers for Medicare & Medicaid Services?
The Kenneth Bradshaw has been issued the NPI (National Provider Identifier) 1134197924 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kenneth Bradshaw?
The Kenneth Bradshaw is situated at 1602 N 2Nd St, in the city of Clinton, state of MO, with the zip code 647351192.
What is the area of specialization for Kenneth Bradshaw, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth Bradshaw is Podiatrist, and the corresponding taxonomy code that categorizes this area of expertise is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134197924 to Kenneth Bradshaw?
The Kenneth Bradshaw received its 1134197924 assignment from the Centers for Medicare & Medicaid Services on 2006-03-09.
As of what date was the information regarding Kenneth Bradshaw, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kenneth Bradshaw, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-12-29.