Bradford, Randy E

Bradford, Randy E is an individual health care provider with primary practice located at 550 Pope Ave Attn: Credentials, Fort Leavenworth KS 66027-2332. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bradford, Randy E can be contacted via phone (913) 684-6562.

Contact Information

Primary practice address
550 Pope Ave Attn: Credentials Fort Leavenworth KS 66027-2332
Phone: (913) 684-6562
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 4238 Kansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4238 Kansas

Profile Details

NPI number 1265735989
LBN Legal business name Bradford, Randy E
Credentials LSCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2010
Last updated Jan 4th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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