Brydges, Kenneth I.

Brydges, Kenneth I. is an individual health care provider with primary practice located at 100 Horwood Place , Ogdensburg NY 13669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brydges, Kenneth I. can be contacted via phone (315) 394-0426.

Contact Information

Primary practice address
100 Horwood Place Ogdensburg NY 13669
Phone: (315) 394-0426
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 239404 New York

Profile Details

NPI number 1568532042
LBN Legal business name Brydges, Kenneth I.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Sep 9th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568532042 NPPES
New York MEDICAID 02824862

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