Individual
KELLY JEAN BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6140 W CURTISIAN AVE STE 400, BOISE, ID 83704
(208) 327-5600
(208) 327-5602
Mailing address
6140 W CURTISIAN AVE STE 400, BOISE, ID 83704-8907
(208) 327-5600
(208) 327-5602
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
M-14287
ID
Other
Enumeration date
04/13/2011
Last updated
05/09/2022
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