| Brenda Lee Bradford, CRNA | |
|
1020 N Main St, Beaver Dam, KY 42320-1553 | |
| (270) 274-0480 | |
| (270) 274-0482 |
| Full Name | Brenda Lee Bradford |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1020 N Main St, Beaver Dam, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538400155 | NPI | - | NPPES |
| 7100241770 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1065045 (Kentucky) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3007976 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Lee Bradford, CRNA 1020 N Main St, Beaver Dam, KY 42320-1553 Ph: (270) 274-0480 | Brenda Lee Bradford, CRNA 1020 N Main St, Beaver Dam, KY 42320-1553 Ph: (270) 274-0480 |
Christy Dawn Mills, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1020 N Main St, Beaver Dam, KY 42320 Phone: 270-274-0480 Fax: 270-274-0482 |