BRIDGET SAGE KENNY P.A.-C. NPI 1952349862

NPI Information

NPI: 1952349862
Provider Name: BRIDGET SAGE KENNY, P.A.-C.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
7775 ANGLING RD
PORTAGE, MI
ZIP 49024
Phone: (269) 321-7546
Get Directions

Bridget Sage Kenny, P.A.-C. is a medical physician assistant in Portage, MI. Bridget Sage Kenny, P.A.-C. NPI is 1952349862. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7775 ANGLING RD
PORTAGE, MI
ZIP 49024-427
Phone: (269) 321-7546
Fax: (269) 321-1705

The enumeration date for this NPI number is 6/3/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	MK0853653	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0N59670	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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