Individual
KELCI DESHAE BRIDGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 BOURNE AVE, SOMERSET, KY 42501-1915
(606) 679-7421
Mailing address
1702 SANDY VALLEY RD, MONTICELLO, KY 42633-7617
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
284856
KY
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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