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NPI Code Detail

MEDICARE: MS. JUDY ANN BRADY

MEDICARE:  MS. JUDY ANN BRADY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171W00000XContractorOH

General Provider Information

NPI Number : 1609648351
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JUDY ANN BRADY
Provider Business Mailing Address
First Line : 2159 W NORTH BEND RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45224-2371
Country : US
Telephone Number : 513-526-4306
Fax Number :
Provider Business Practice Location Address
First Line : 2159 W NORTH BEND RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45224-2371
Country : US
Telephone Number : 513-526-4306
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2023
Last Update Date : 10/26/2023

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Directions to “ MS. JUDY ANN BRADY ” Practice Location

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