Individual
HEATHER DOEREN BRIDGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1916 GRAND BLVD, KANSAS CITY, MO 64108-1803
(913) 297-7472
(855) 461-1769
Mailing address
1916 GRAND BOULEVARD, KANSAS CITY, MO 64108-1803
(913) 297-7472
(816) 527-0171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-02001
KS
363A00000X
Physician Assistant
Primary
2017026356
MO
Other
Enumeration date
02/16/2017
Last updated
04/30/2024
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