NPI | 1316571193 |
---|---|
Professional Name | KAYLA BRADLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-12291) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC PA4771) |
363A00000X Physician Assistant (Licence: NC 0010-12291) | |
363AM0700X Physician Assistant, Medical (Licence: SC PA4771) | |
Enumeration Date | 2020-03-02 |
Last Update Date | 2024-03-28 |