| NPI | 1538309489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY D. BRADLEY Owner, Provider 859-227-4835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4229P) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-04 |