Kathleen Patricia Bradley, LPN
Individual provider Active NPI Licensed Practical Nurse · Cortlandt Manor, NY
NPI 1104084433 · NPPES record last updated May 22, 2008
Key facts
- NPI
- 1104084433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 10193578 (NY)
- Practice address
- 1030 Oregon Rd
Cortlandt Manor, NY 10567-1122 - Phone
- (914) 737-1152
- NPI assigned
- May 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10193578 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 10193578 | NY | Yes |
Addresses
Primary practice location
1030 Oregon Rd
Cortlandt Manor, NY 10567-1122
Mailing address
1030 Oregon Rd
Cortlandt Manor, NY 10567-1122
Phone (914) 737-1152
Other providers in Cortlandt Manor, NY
- Amy Elizabeth Bitondo
- Blue Mountain Chiropractic Family Wellness Center P.C.
- Aravinda L Bommareddy
- Lenora M Bordeau
- Matthew Thomas Boswell
- Maureen Patricia Brann
- Valerie E Braun
- David S Breslin
- Bonnie Brody
- Glenn I Bronley
All providers in Cortlandt Manor, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.