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Contact Information

KEVIN G. BRADLEY P.C.
640 ALEXANDER DR STE 107
EUFAULA, OK74432-4013
 Phone: 918-689-2424
 Fax: 918-618-4778
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for KEVIN G. BRADLEY P.C.

NPI # 1922106590
LBN Legal business name KEVIN G. BRADLEY P.C.
Authorized official KEVIN BRADLEY - (PRESIDENT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 03/27/2008 - About 18 years ago
Identifiers
OK License # 3321
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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