KELLY BRADFORD
Social Worker - Clinical
Active
Individual
NPI: 1386906394
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | 995 (KS) |
| Social Worker - Clinical | 1041C0700X | Yes | 4705 (KS) |
Frequently Asked Questions
NPI 1386906394 is the National Provider Identifier for KELLY BRADFORD, a Social Worker - Clinical provider located in Independence, KS. This NPI was enumerated on June 14, 2012.
KELLY BRADFORD practices at 1101 DONALD AVE, Independence, KS 67301.
Quick Facts
- NPI
- 1386906394
- Type
- Individual
- Enumerated
- Jun 14, 2012
- Last Updated
- Aug 28, 2017
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