Kris Ryan Bradshaw
NPI #1992166177 in West Plains, Missouri
Provider Information
- NPI Number
- 1992166177
- Entity Type
- Individual
- Name
- Kris Ryan Bradshaw
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Mar 15, 2016
- Last Updated
- Mar 15, 2016
Practice Location
- Address
- 1015 LANTON RD
- City
- West Plains
- State
- Missouri
- ZIP Code
- 65775-3854
- Phone
- (417) 256-2570
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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