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Contact Information

KIMBERLY S BRADLYN, PA-C
2220 NORTH DRUID HILLS ROAD NE
ATLANTA, GA30329-3117
 Phone: 404-256-2593
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KIMBERLY S BRADLYN · (Female)

NPI # 1902482623
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/23/2021
Last updated 03/26/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • GA License # 10468
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
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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