Healthcare Provider Details

I. General information

NPI: 1427967322
Provider Name (Legal Business Name): KALYIA BRADLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 HALF ST SE APT 1261
WASHINGTON DC
20003-4197
US

IV. Provider business mailing address

2210 KAY HILL DR
WALDORF MD
20601-2709
US

V. Phone/Fax

Practice location:
  • Phone: 202-271-9430
  • Fax:
Mailing address:
  • Phone: 202-271-9430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: