Ronny Bradshaw
NPI #1417150111 in Shepherdsville, Kentucky
Provider Information
- NPI Number
- 1417150111
- Entity Type
- Individual
- Name
- Ronny Bradshaw
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 8, 2007
- Last Updated
- Jun 9, 2011
Practice Location
- Address
- 130 S JOE B. HALL AVE
- City
- Shepherdsville
- State
- Kentucky
- ZIP Code
- 40165-0690
- Phone
- (502) 589-8600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Case Manager/Care Coordinator |
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