Provider Demographics
NPI:1285170415
Name:BRIDGES, KALI (RN, CFNP)
Entity type:Individual
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First Name:KALI
Middle Name:
Last Name:BRIDGES
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Gender:F
Credentials:RN, CFNP
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Mailing Address - Street 1:2719 E 32ND ST
Mailing Address - Street 2:PEDIATRIC ASSOCIATES OF SOUTHWEST MISSOURI
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-3131
Mailing Address - Country:US
Mailing Address - Phone:417-782-5522
Mailing Address - Fax:417-782-5866
Practice Address - Street 1:2719 E 32ND ST
Practice Address - Street 2:PEDIATRIC ASSOCIATES OF SOUTHWEST MISSOURI
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-3131
Practice Address - Country:US
Practice Address - Phone:417-782-5522
Practice Address - Fax:417-782-5866
Is Sole Proprietor?:No
Enumeration Date:2017-01-11
Last Update Date:2022-04-29
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Provider Licenses
StateLicense IDTaxonomies
MO2016044713363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily