Individual
BRIDGET M KINANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
315 75TH ST W, BRADENTON, FL 34209-3201
(941) 761-1616
(941) 761-3807
Mailing address
315 75TH ST W, BRADENTON, FL 34209-3201
(941) 761-1998
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101156
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291574000
—
FL
01
—
970026428
RAILROAD MEDICARE
—
01
—
P00121613
RAILROAD MEDICARE
—
Enumeration date
12/16/2005
Last updated
07/01/2010
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