Provider Demographics
NPI:1073834362
Name:BRADLEY, KATHRYN ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ELIZABETH
Last Name:BRADLEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2450 E RIVER RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-6526
Mailing Address - Country:US
Mailing Address - Phone:520-795-7750
Mailing Address - Fax:520-320-2155
Practice Address - Street 1:2626 E RIVER RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-6632
Practice Address - Country:US
Practice Address - Phone:520-694-7021
Practice Address - Fax:520-694-0235
Is Sole Proprietor?:No
Enumeration Date:2010-06-21
Last Update Date:2023-02-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ509702084N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular Medicine