Koni B Bridges (NPI# 1295915387, PAC ID# 4385783422) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1295915387 |
| PAC ID by PECOS | 4385783422 |
| Professional Enrollment ID | I20091202000284 |
| Full Name | Koni B Bridges |
| Address |
108 State St Lake Charles LA 70605-5718 |
| Gender | F |
| Graduation Year | 1987 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 108 State St, Lake Charles, LA 70605-5718 |
| Street Address |
108 STATE ST |
| City | LAKE CHARLES |
| State | LA |
| Zip | 70605-5718 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shondra L Smith | Dermatology | Shondra L. Smith, Md | 3635 Nelson Rd, Dermatology and Advanced Aesthetics, Lake Charles, LA 70605-1213 |
| Jill A Conner | Nurse Practitioner | Shondra L. Smith, Md | 3635 Nelson Rd, Dermatology and Advanced Aesthetics, Lake Charles, LA 70605-1213 |
| Savannah Guidry | Physician Assistant | Shondra L. Smith, Md | 3635 Nelson Rd, Lake Charles, LA 70605-1213 |
| Lisa J Brune | Clinical Social Worker | 900 Contraband Ln, Lake Charles, LA 70605-1435 | |
| Shaine E Rider | Chiropractic | 601 W College St, Lake Charles, LA 70605-1521 | |
| Kara A Headington | Qualified Audiologist | Imperial Health LLP | 1615 Wolf Circle, Lake Charles, LA 70605-2348 |
| Tara Barnes | Nurse Practitioner | Center for Neurosurgical and Spine Disorders, LLC | 1614 Wolf Circle, Lake Charles, LA 70605-2348 |
| Charles Speights | Emergency Medicine | 1615 Wolf Cir, Suite B, Lake Charles, LA 70605-2348 | |
| Geoffrey J Collins | Orthopedic Surgery | Collins Orthopaedics LLC | 1625 Wolf Circle, Lake Charles, LA 70605-2348 |
| Kimberly Ann Belanger | Nurse Practitioner | Center for Neurosurgical and Spine Disorders, LLC | 1614 Wolf Circle, Lake Charles, LA 70605-2348 |
| Find all physicians in zip 70605 | |||
| City | LAKE CHARLES |
| Zip Code | 70605 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | LAKE CHARLES + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Koni B Bridges.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.