Healthcare Provider Details

I. General information

NPI: 1174868715
Provider Name (Legal Business Name): FRANCIS LUKE BRADLEY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2012
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7501 COLLEGE BLVD STE 250
OVERLAND PARK KS
66210-2505
US

IV. Provider business mailing address

7501 COLLEGE BLVD STE 250
OVERLAND PARK KS
66210-2505
US

V. Phone/Fax

Practice location:
  • Phone: 913-451-8550
  • Fax:
Mailing address:
  • Phone: 913-451-8550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberLCP1468
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: