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General NPI Number Information
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NPI Number | 1164723581
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Entity Type | Individual
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Provider Name | KIM MICHELLE BRIDGES MSNA
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Gender | Female
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Dates
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Enumeration Date | 11/17/2010
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 1 MEDICAL VILLAGE DR
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City | EDGEWOOD
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State | KY
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Zip | 41017-3403
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Country | US
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Telephone | 859-301-2211
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Fax |
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Provider Business Mailing Address
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Address Line | 14721 STEPHENSON RD
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City | MORNING VIEW
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State | KY
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Zip | 41063-9641
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Country | US
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Telephone | 859-356-2716
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 086672
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1093910
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License Number State | KY
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