Kaydon Robert Bradshaw, is a
Social Worker - Clinical based in Provo, Utah. Kaydon Robert Bradshaw is licensed to practice in * (Not Available) (license number ) and his current practice location is
750 N Freedom Blvd, Provo, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 373-4760.
NPI number for Kaydon Robert Bradshaw is 1922588003 and his current mailing address is 750 N Freedom Blvd, Provo, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922588003.
Healthcare Provider's Profile
Full Name | Kaydon Robert Bradshaw |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 750 N Freedom Blvd, Provo, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922588003
- Provider Enumeration Date: 08/17/2018
- Last Update Date: 05/20/2024
Medical Identifiers
Medical identifiers for Kaydon Robert Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922588003 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaydon Robert Bradshaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kaydon Robert Bradshaw, 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4760 | Kaydon Robert Bradshaw, 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4760 |
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