NPI 1952008567 · live from the CMS NPI Registry
Kathryn Rose Bradley
Physician Assistant in Keene, NH. National Provider Identifier 1952008567, active.
NPI record
| NPI | 1952008567 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 580 Court St, Keene, NH 03431 |
| Practice phone | 603-354-5400 |
| Mailing address | 183 Crystal Lake Rd, Enfield, NH 03748 |
| Enumerated | February 14, 2023 |
| Last updated | November 16, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 2112 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.