| NPI | 1972154185 |
|---|---|
| Former Name | KARLEE CAMPBELL BRADBERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA1099) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 3137) |
| Enumeration Date | 2019-09-28 |
| Last Update Date | 2023-01-23 |