Provider Demographics
NPI:1801963566
Name:BRADBURY, MARGARET KELLEY (MS)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:KELLEY
Last Name:BRADBURY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MICHIGAN AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2978
Mailing Address - Country:US
Mailing Address - Phone:202-884-4925
Mailing Address - Fax:202-884-6014
Practice Address - Street 1:111 MICHIGAN AVE NW
Practice Address - Street 2:RESEARCH CENTER FOR GENETIC MEDICIEN
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2978
Practice Address - Country:US
Practice Address - Phone:202-884-4925
Practice Address - Fax:202-884-6014
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS