Doctor Name: | MRS. ROBYN ANNETTE BRADLEY |
NPI Number: | 1124252473 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RT(R)(M) |
License Number: | |
Business Practice Address: | 100 Bridgeside Dr Nicholasville, KY - 403562906 |
Business Phone Number: | 8598811588 |
Business Fax Number: | 8598819703 |
Mailing Address: | 100 Bridgeside Dr, NICHOLASVILLE |
State: | KY |
Postal Code: | 403562906 |
Phone Number: | 8598811588 |
Fax Number: | 8598819703 |
NPI Enumeration Date: | 05/14/2009 |
NPI Last Update Date: | 05/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471S1302X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |