Individual
KENNETH ALAN BRIDGMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-4600
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01095084A
IN
207P00000X
Emergency Medicine Physician
Primary
5101027468
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101021786
MI
Other
Enumeration date
03/30/2021
Last updated
12/11/2024
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