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Contact Information

KIM M BRIDGES, MSNA
1 MEDICAL VILLAGE DR
EDGEWOOD, KY41017-3403
 Phone: 859-301-2211
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KIM M BRIDGES · (Female)

NPI # 1164723581
Status Active
Credentials MSNA
Entity Individual
Enumeration date 11/17/2010
Last updated 06/13/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 086672
  • KY License # 1093910
  • IN Medicaid 201006220
  • KY Medicaid 7100146110
  • OH Medicaid 3120830
  • Other 000000691770 ANTHEM
  • Other 611077369 1295716850 HEALTHNET
Hospital affiliation(s)
  • JEWISH HOSPITAL LLC - (Acute Care)
    4777 EAST GALBRAITH ROAD
    CINCINNATI, OH 45236
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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