Individual
STEPHANIE K BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1099 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1159
(270) 251-4121
(270) 251-4380
Mailing address
710 WINDSOR WOODS, PADUCAH, KY 42001-4676
(270) 443-4116
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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