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

Kelly Nicole Bradshaw

Individual provider Dental Hygienist · NPI 1710573332

Kelly Nicole Bradshaw is a Dental Hygienist in Leawood, Kansas. Licensed in Kansas. Registered with an NPI since 2020.

Licensed in
KS
In the registry since
2020

Practice location Address checks out

11201 Nall Ave Ste 120
Leawood, KS 66211
Phone: (913) 491-4466
Show map & directions

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

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 11050 (KS)

Record details

NPI number1710573332
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 17, 2020
Last updated in NPPESDecember 17, 2020
Certification dateDecember 17, 2020