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DR. KEVIN BRADSHAW D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1922408632

Individual Registrant:
DR. KEVIN  BRADSHAW D.C.
Gender: M
Sole Proprietor

Location and contact information for practice:
4331 OLD HICKORY BLVD STE C  OLD HICKORY, TN 37138-2082 US
Tel: 615-847-2770  Fax: 615-847-8781

Contact information for business:
4331 OLD HICKORY BLVD STE C  OLD HICKORY, TN 37138-2082 US
Tel: 615-847-2770  Fax: 615-847-8781

Registration Information:
NPI: 1922408632
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
TN2804

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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