NPI 1013420207

Kennetra Bradshaw, RD

Practitioner Registered Dietitian Covington, KY

Practice location

Address: 1500 James Simpson Jr Way, Covington, KY 41011-0801
Phone: (859) 655-8910
Fax: (859) 655-8911
Mailing address: 35 Plymouth Ln, Elsmere, KY 41018-2717

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 261387 (KY)

Other Dietitian, Registered providers in Kentucky →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence LD08373 (OH)

Registry record

NPI: 1013420207
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Nov 2017
Record last updated: 19 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.