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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEVIN BRADLEY, SOIDC

Active Sole Proprietor

KEVIN BRADLEY, SOIDC is a Independent Duty Corpsman healthcare provider located in VIRGINIA BEACH, Virginia. NPI 1306455522 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · VIRGINIA BEACH, VA

Registration Details

NPI Number
1306455522
Provider Type
Individual
Gender
Male
NPI Issued
Jul 23, 2020 (6.0935894231497 yrs)
Last Updated
Jul 23, 2020
Sole Proprietor
Yes

Practice Information

Address
903 13TH ST
VIRGINIA BEACH, VA, 234514476
Browse VA providers · Browse ZIP 23451
Phone
9104655610
Primary Specialty
Independent Duty Corpsman
1710I1002X

Other Independent Duty Corpsman Providers in VIRGINIA BEACH, VA

Name Credential NPI
MR. REYNALDO AFABLE GALANG IDC 1215904206
MR. STEVEN K ANDREWS IDC 1366411779
MR. RANDY SCOTT BREIDEL SUB IDC 1265401673
JEFFERY ALAN MILLER IDC 1457320731
MR. THOMAS IVAN KLEIN 1669431771
MR. RAMONCITO VALENCIA PEDRO SUB-IDC 1144281270
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.