Individual
KENDALL JO BRIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10967 S LEHE RD, BROOKSTON, IN 47923-8299
(765) 250-6612
Mailing address
10967 S LEHE RD, BROOKSTON, IN 47923-8299
(765) 250-6612
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IN
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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