Individual provider · Type 1 NPI

Kendall Jo Bridwell

Student in an Organized Health Care Education/Training Program · Brookston, IN

NPI number 1972479210 Active

Practice location

10967 S Lehe Rd
Brookston, IN 47923-8299

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972479210

Kendall Jo Bridwell's National Provider Identifier is 1972479210, issued on Oct 14, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brookston, IN. The record was last updated on Oct 14, 2025.