DR. MALLORY K BRADLEY (NPI# 1538505755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538505755 |
Entity Type | Individual |
Full Name | DR. MALLORY K BRADLEY |
Credential | D.C. |
Practice Address |
432 Lake St. Fulton KY 42041 |
Practice Telephone | 2704729550 |
Practice Fax Number | 2702828081 |
Mailing Telephone | 2704729550 |
Enumeration Date | 2013-05-14 |
Last Update Date | 2013-10-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111N00000X | Chiropractor | CH10894 | FL | Chiropractic Providers |
Y | 111N00000X | Chiropractor | 5410 | KY | Chiropractic Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063950152 | Mallory Bradley | Social Worker | 1211 Minnehaha Trl, Manasquan, NJ 08736-2022 | 2017-02-08 |
1497200521 | Mallory Boehler Bradley | Speech-Language Pathologist | 719 Rosedale Rd, Woodstock, GA 30189-6106 | 2016-08-18 |
Street Address |
432 LAKE ST. |
City | FULTON |
State | KY |
Zip Code | 42041 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356434930 | Evans Drug Company Pllc | Pharmacist | 214 Lake Street, Fulton, KY 42041 | 2006-10-02 |
1518991645 | Purchase Radiology Group | Radiology | 2000 Holiday Lane, Parkway Regional Hospital, Fulton, KY 42041 | 2006-07-11 |
1427000454 | Purchase District Health Dept | Public Health or Welfare | 350 Browder Street, Fulton, KY 42041 | 2006-05-17 |
1245233162 | Bruce James Rowland | Otolaryngology | 2002 Holiday Lane, Ste 400, Fulton, KY 42041 | 2005-05-24 |
1740479823 | Fulton County Transit Authority | Non-emergency Medical Transport (VAN) | 302 Eastwood Dr., Fulton, KY 42041-0601 | 2007-10-15 |
1407163231 | Darla Jill Jackson | Developmental Therapist | 418 Pearl St, Fulton, KY 42041-1230 | 2010-08-31 |
1578817839 | Fulton City School Clinic | Public Health or Welfare | 400 W State Line St, Fulton, KY 42041-1500 | 2012-11-07 |
1437190287 | Indu Bala Malik | Family Medicine | 227 Commercial Ave, Fulton, KY 42041-1528 | 2006-06-10 |
1326506585 | Kimberly Dawn Brinkley | Family Medicine | 227 Commercial Ave, Fulton, KY 42041-1528 | 2019-03-06 |
1275966715 | Bradley Chiropractic, Pllc | Chiropractor | 432 Lake St, Fulton, KY 42041-1531 | 2013-08-20 |
Find all providers in zip 42041 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851878219 | Ams Holdings, LLC | Chiropractor | 1106 4th Street, Fulton, IL 61252-1718 | 2018-07-27 |
1285155085 | Tri Kim LLC | Chiropractor | 11820 W Market Pl Ste K, Fulton, MD 20759-2421 | 2017-06-30 |
1275966715 | Bradley Chiropractic, Pllc | Chiropractor | 432 Lake St, Fulton, KY 42041-1531 | 2013-08-20 |
1740597616 | David L Stuber | Chiropractor | 362 Park Ave, Fulton, NY 13069-2420 | 2010-09-13 |
1871731588 | Amy K Green | Chiropractor | 308 Meadowlark Ln, Fulton, MO 65251-2458 | 2009-02-03 |
1194985267 | Koelling Family Chiropractic, PC | Chiropractor | 621 Commons Drive, Fulton, MO 65251-2650 | 2008-06-12 |
1821286394 | Tom M Kao | Chiropractor | 1104 4th St, Fulton, IL 61252-1718 | 2007-10-10 |
1316086804 | Community Chiropractic, P.C. | Chiropractor | 16 Canalview Mall, Fulton, NY 13069-1733 | 2007-02-05 |
1356488241 | Edvard Lc Gerega | Chiropractor | 1013 4th Street, Fulton, IL 61252-1715 | 2007-01-31 |
1528117785 | Brian Hoselton | Chiropractor | 710 S Business 54, Fulton, MO 65251-1403 | 2007-01-09 |
Find all providers in FULTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.