Kylie-Rain Bradley

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · New London, NH

NPI 1780186841 · NPPES record last updated Mar 5, 2018

Key facts

NPI
1780186841
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
541 Main St
New London, NH 03257-7818
Phone
(603) 526-3400
NPI assigned
Mar 5, 2018
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

541 Main St
New London, NH 03257-7818

Mailing address

541 Main St
New London, NH 03257-7818
Phone (603) 526-3400

Other providers in New London, NH

All providers in New London, NH · Student in an Organized Health Care Education/Training Program in New Hampshire

Sources for this page

Verify at the official NPI Registry.