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
Address 9639 Fairwood Ct, Port Saint Lucie, Florida
Phone Number 7724890500
Fax Number
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1437144870
Provider Enumeration Date 2005-09-13
Last Updated Date 2009-10-26

Provider Mailing Address Detail

Address 9639 Fairwood Ct
City Port Saint Lucie
State Florida (FL)
Post Code 349863250
Phone Number 7724890500
Fax Number

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
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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FAQs about Kenneth G Bridges

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.

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