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NPI Code Detail

MEDICARE: KIMBERLY ANTOINETTE BRIDGES

MEDICARE: KIMBERLY ANTOINETTE BRIDGES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistMPSS-MNDTQBCA
2373H00000XDay Training/Habilitation SpecialistCA

General Provider Information

NPI Number : 1003954405
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ANTOINETTE BRIDGES
Provider Business Mailing Address
First Line : 200 EDMONDS RD
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94062-3813
Country : US
Telephone Number : 650-249-0445
Fax Number : 650-226-8098
Provider Business Practice Location Address
First Line : 200 EDMONDS RD
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94062-3813
Country : US
Telephone Number : 650-249-0445
Fax Number : 650-226-8098
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2007
Last Update Date : 11/01/2025

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Directions to “ KIMBERLY ANTOINETTE BRIDGES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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