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Alicon Kay Bradshaw, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Louisville, Kentucky
NPI 1164768834

Alicon Kay Bradshaw is a Psychiatric/Mental Health Nurse Practitioner based in Louisville, KY and is specialized in Psychiatric/Mental Health. Alicon Kay Bradshaw practices in Louisville, KY and has the professional credentials of PMHNP. The NPI Number for Alicon Kay Bradshaw is 1164768834 and holds a License No. 3006770 (Kentucky).

The current practice location address for Alicon Kay Bradshaw is 4601 Chamberlain Ln, Louisville, KY and can be reached out via phone at 502-384-2844.

Location: 4601 Chamberlain Ln, Louisville, KY, 40241-1159
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Provider Profile Details
NPI Number
1164768834
Provider Name
Alicon Kay Bradshaw
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
4601 Chamberlain Ln, Louisville, KY, 40241-1159
Phone Number
502-384-2844
Fax Number
Provider Enumeration Date
12/27/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100231860 05 KY
institution
Provider Business Practice Location Address Details
Address
4601 Chamberlain Ln
City
State
Zip
40241-1159
Phone Number
502-384-2844
Fax Number
person
Provider Business Mailing Address Details
Address
4601 Chamberlain Ln
City
State
Zip
40241-1159
Phone Number
502-384-2844
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
3006770 (Kentucky)
Definition
Definition to come...
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