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

BRADLEY MICHAEL MATTHEWS, PA

Active Sole Proprietor

BRADLEY MICHAEL MATTHEWS, PA is a Physician Assistant healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1720305386 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FORT CAMPBELL, KY

Registration Details

NPI Number
1720305386
Provider Type
Individual
Gender
Male
NPI Issued
Apr 22, 2010 (16.333330136224 yrs)
Last Updated
Apr 22, 2010
Sole Proprietor
Yes

Practice Information

Address
650 JOEL DR
FORT CAMPBELL, KY, 422235318
Browse KY providers · Browse ZIP 42223
Phone
2707988400
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FORT CAMPBELL, KY

Name Credential NPI
SHELIA RENEE MITCHELL P.A. 1689669996
MR. JOHN PAGE DANA PHYSICIAN ASSISTANT 1740261429
MR. MARTY ROBERT LITCHFIELD P.A. 1306828900
MUMTAZ KHAN PA 1093795726
MR. LEANDRO SOLIS 1245206622
MS. CHERYL ANN MORSE PA-C 1770559155
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.