Kimberly E Bradley is a Family in Benton, Kentucky. Kimberly E Bradley practices all healthcare services and medical treatments related to Family. The NPI Number for Kimberly E Bradley is 1104801166. The last update date is 2023-12-04.
Kimberly E Bradley's current location address is 83 Wellness Way Ste 101&201, Benton, Kentucky. You can contact this provider via phone number 2705270045 and fax number 2705279615. The mailing address for Kimberly E Bradley is 83 Wellness Way Ste 101&201, Benton, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly E Bradley |
|---|---|
| Address | 83 Wellness Way Ste 101&201, Benton, Kentucky |
| Phone Number | 2705270045 |
| Fax Number | 2705279615 |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1104801166 |
|---|---|
| Provider Enumeration Date | 2005-12-13 |
| Last Updated Date | 2023-12-04 |
Provider Mailing Address Detail
| Address | 83 Wellness Way Ste 101&201 |
|---|---|
| City | Benton |
| State | Kentucky (KY) |
| Post Code | 420257156 |
| Phone Number | 2705270045 |
| Fax Number | 2705279615 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 3002422 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 78001807 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kimberly E Bradley by the Centers for Medicare & Medicaid Services?
The Kimberly E Bradley has been assigned the NPI (National Provider Identifier) 1104801166. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kimberly E Bradley?
The Kimberly E Bradley is physically situated at 83 Wellness Way Ste 101&201, in the city of Benton, state of KY, with the postal code 420257156.
What is Kimberly E Bradley's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kimberly E Bradley is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104801166 to Kimberly E Bradley?
The Centers for Medicare & Medicaid Services assigned the 1104801166 to Kimberly E Bradley on 2005-12-13.
As of what date were the details pertaining to Kimberly E Bradley last refreshed?
The information related to the Kimberly E Bradley, including its address, specialty, and other relevant details, was last updated on 2023-12-04.