Bradley, Kevin

Bradley, Kevin is an sole proprietor health care provider with primary practice located at 903 13Th St , Virginia Beach VA 23451-4476. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Bradley, Kevin can be contacted via phone (910) 465-5610.

Contact Information

Primary practice address
903 13Th St Virginia Beach VA 23451-4476
Phone: (910) 465-5610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1306455522
LBN Legal business name Bradley, Kevin
Credentials SOIDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2020
Last updated Jul 23rd, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306455522 NPPES
Other 1367445790 NAVY

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