Kelly Bradford

NPI #1235461898 in Atoka, Oklahoma

Provider Information

NPI Number: 1235461898
Entity Type: Individual
Name: Kelly Bradford
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Feb 8, 2010
Last Updated: Feb 8, 2010

Practice Location

Address: 1501 S VIRGINIA AVE
City: Atoka
State: Oklahoma
ZIP Code: 74525-3233
Phone: (580) 889-3799

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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