Individual
BRIDGET E KAIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 NE MOTHER JOSEPH PL STE 330, VANCOUVER, WA 98664-3288
(360) 514-2990
(360) 514-3508
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60799603
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801245964
—
WA
Enumeration date
06/09/2016
Last updated
08/02/2024
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