MS. LYNN KOENECKE BRADLEY P.A. NPI 1700817160

NPI Information

NPI: 1700817160
Provider Name: MS. LYNN KOENECKE BRADLEY, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
VA MEDICAL CENTER
1670 CLAIRMONT ROAD
DECATUR, GA
ZIP 30033
Phone: (404) 321-6111
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MS. Lynn Koenecke Bradley, P.A. is a medical physician assistant in Decatur, GA. MS. Lynn Koenecke Bradley, P.A. NPI is 1700817160. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

VA MEDICAL CENTER
1670 CLAIRMONT ROAD
DECATUR, GA
ZIP 30033-819
Phone: (404) 321-6111
Fax: (404) 728-4838

The enumeration date for this NPI number is 7/5/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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