| NPI | 1922106590 |
|---|---|
| Doing Business As | PROFESSIONAL OFFICE OF DR KEVIN G BRADLEY PC,INC |
| Entity Type | Organization |
| Authorized Contact | KEVIN GARNER BRADLEY President/Owner 918-689-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: OK 3321) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-03-27 |