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Contact Information

KEVIN BRADFORD, A.S. C.A.D.C
1607 NW PRAIRIE LAKES DR
UNIT 212
ANKENY, IA50023-4819
 Phone: 402-840-7288
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for KEVIN BRADFORD · (Male)

NPI # 1114391828
Status Active
Credentials A.S. C.A.D.C
Entity Individual
Enumeration date 11/18/2015
Last updated 11/23/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 15094
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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