Kenneth G Bridges in Port Saint Lucie - Vascular Surgery
Kenneth G Bridges - NPI 1437144870
Kenneth G Bridges is a Vascular Surgery in Port Saint Lucie, Florida. Kenneth G Bridges practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Kenneth G Bridges is 1437144870. The last update date is 2009-10-26.
Kenneth G Bridges's current location address is 9639 Fairwood Ct, Port Saint Lucie, Florida. You can contact this provider via phone number 7724890500. The mailing address for Kenneth G Bridges is 9639 Fairwood Ct, Port Saint Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kenneth G Bridges |
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Address | 9639 Fairwood Ct, Port Saint Lucie, Florida |
Phone Number | 7724890500 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1437144870 |
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Provider Enumeration Date | 2005-09-13 |
Last Updated Date | 2009-10-26 |
Provider Mailing Address Detail
Address | 9639 Fairwood Ct |
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City | Port Saint Lucie |
State | Florida (FL) |
Post Code | 349863250 |
Phone Number | 7724890500 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Vascular Surgery |
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Taxonomy | 2086S0129X |
Licence No | ME69634 |
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
P00738042 | FL | RAILROAD MEDICARE | |
262035900 | FL | -- |
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What is the unique provider identifier assigned to Kenneth G Bridges?
The Kenneth G Bridges has been issued the NPI (National Provider Identifier) 1437144870 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Kenneth G Bridges located?
The Kenneth G Bridges is located at 9639 Fairwood Ct, Port Saint Lucie, FL 349863250.
What is the Kenneth G Bridges's area of specialization and corresponding taxonomy classification?
The Kenneth G Bridges's specialty field is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their specialties.
When was the Kenneth G Bridges's 1437144870 issued?
The Kenneth G Bridges's 1437144870 was issued on 2005-09-13.
When was the Kenneth G Bridges's information last updated?
The Kenneth G Bridges's information was last updated on 2009-10-26.