Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY NICOLE BRADSHAW
ActiveDental Hygienist · LEAWOOD, KS
Registration Details
- NPI Number
- 1710573332
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 17, 2020 (5.3531878260941 yrs)
- Last Updated
- Dec 17, 2020
- License
-
11050 (KS)
Practice Information
- Address
-
11201 NALL AVESUITE 120LEAWOOD, KS, 66211Browse KS providers · Browse ZIP 66211
- Phone
- 9134914466
- Primary Specialty
-
Dental Hygienist
124Q00000X
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.