Allyson Bridewell, PA-C

NPI #1912618869 in Southgate, Kentucky

Provider Information

NPI Number: 1912618869
Entity Type: Individual
Name: Allyson Bridewell, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 12, 2022
Last Updated: Sep 19, 2023

Practice Location

Address: 222 VAIL CT
City: Southgate
State: Kentucky
ZIP Code: 41071-2854
Phone: (505) 923-5362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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