SearchIllinois183500000X

Kelsie Bradford

NPI 1295134104 · on the registry since 2014 · sole proprietor

Practice

Address
110 W 10th St
Metropolis, IL 62960
Phone
(618) 524-4819
Organisation at this address
Walgreen Co
Walgreen Co.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
KY, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois