Keith, Kelsey Bradbury

Keith, Kelsey Bradbury is an individual health care provider with primary practice located at 500 S University Ave Ste 615 , Little Rock AR 72205-5308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Keith, Kelsey Bradbury can be contacted via phone (501) 664-4044.

Contact Information

Primary practice address
500 S University Ave Ste 615 Little Rock AR 72205-5308
Fax: (501) 664-4064
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E-14361 Arkansas

Profile Details

NPI number 1205332061
LBN Legal business name Keith, Kelsey Bradbury
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2018
Last updated Jul 8th, 2022 - about 4 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 1205332061 NPPES
Arkansas MEDICAID 272153001

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