Provider Demographics
NPI:1851930606
Name:BRADSHAW CONSULTING AND ADVISING
Entity Type:Organization
Organization Name:BRADSHAW CONSULTING AND ADVISING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:859-466-4754
Mailing Address - Street 1:35 PLYMOUTH LN
Mailing Address - Street 2:
Mailing Address - City:ELSMERE
Mailing Address - State:KY
Mailing Address - Zip Code:41018-2717
Mailing Address - Country:US
Mailing Address - Phone:859-816-6890
Mailing Address - Fax:
Practice Address - Street 1:5917 CARY AVE APT 4
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-2450
Practice Address - Country:US
Practice Address - Phone:859-466-4754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-26
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty