Provider Demographics
NPI:1811579816
Name:KILPATRICK, BRIDGET (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:KILPATRICK
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 MEADOW BROOK LN
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35213-3729
Mailing Address - Country:US
Mailing Address - Phone:760-458-8549
Mailing Address - Fax:
Practice Address - Street 1:403 MEADOW BROOK LN
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35213-3729
Practice Address - Country:US
Practice Address - Phone:760-458-8549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date: