Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaydon Robert Bradshaw

Individual provider Counselor · NPI 1922588003

Kaydon Robert Bradshaw is a Counselor in Provo, Utah. Licensed in Utah. Registered with an NPI since 2018.

Licensed in
UT
In the registry since
2018
Specialties on file
2

Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 13992047-3502 (UT)
Counselor Taxonomy 101Y00000X

Record details

NPI number1922588003
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 17, 2018
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026
Mailing address750 N Freedom Blvd, Provo, UT 84601-1677

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