Bridges, Kelly A
Bridges, Kelly A is an individual health care provider with primary practice located at 1686 Skylyn Dr Suite 101, Spartanburg SC 29307. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bridges, Kelly A can be contacted via phone (864) 585-3456.Contact Information
Primary practice address
1686 Skylyn Dr Suite 101
Spartanburg SC 29307
Phone: (864) 585-3456
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 22978 | South Carolina |
Profile Details
| NPI number | 1568415768 |
|---|---|
| LBN Legal business name | Bridges, Kelly A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Dec 2nd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568415768 | NPPES |
| South Carolina | MEDICAID | 229782 | |
| South Carolina | Other | H595876162 | |
| South Carolina | Other | P00691795 |
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