Kelly Michelle Bradshaw

NPI #1720788490 in Mansfield, Ohio

Provider Information

NPI Number: 1720788490
Entity Type: Individual
Name: Kelly Michelle Bradshaw
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Mar 9, 2023
Last Updated: Mar 9, 2023

Practice Location

Address: 595 SUNNYDALE AVE
City: Mansfield
State: Ohio
ZIP Code: 44905-1436
Phone: (419) 543-6911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X
Homemaker	376J00000X	Primary

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