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Contact Information

KENNETH I BRYDGES, DO
100 HORWOOD PLACE
OGDENSBURG, NY13669
 Phone: 315-394-0426
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KENNETH I BRYDGES · (Male)

NPI # 1568532042
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/09/2006
Last updated 09/09/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 239404
  • NY Medicaid 02824862
Hospital affiliation(s)
  • CLAXTON-HEPBURN MEDICAL CENTER - (Acute Care)
    214 KING STREET
    OGDENSBURG, NY 13669
  • MASSENA MEMORIAL HOSPITAL - (Acute Care)
    1 HOSPITAL DRIVE
    MASSENA, NY 13662
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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