KENNETRA BRADSHAW RD
Individual Provider (NPI-1)
Active
Dietitian, Registered
Provider Information
- NPI Number
1013420207- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RD
- Status
- Active
Contact & Location
- Address
- 1500 JAMES SIMPSON JR WAY, COVINGTON, KY, 410110801
- Phone
- (859) 655-8910
- Fax
- (859) 655-8911
Specialties & Taxonomies
Dietitian, Registered
License: OH #LD08373
Dietitian, Registered
Primary License: KY #261387
All Addresses
MAILING
35 PLYMOUTH LN
ELSMERE, KY, 410182717