KELLY NICOLE BRADSHAW
Individual Provider (NPI-1)
Active
Dental Hygienist
Provider Information
- NPI Number
1710573332- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 11201 NALL AVE SUITE 120, LEAWOOD, KS, 66211
- Phone
- (913) 491-4466
Specialties & Taxonomies
Dental Hygienist
Primary License: KS #11050