Doctor Name: | KELLY BRUNDIGE |
NPI Number: | 1164732699 |
Entity Type Code: | Individual (1) |
Gender: | F |
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License Number: | |
Business Practice Address: | 2655 Enterprise Rd Reno, NV - 895121666 |
Business Phone Number: | 7756881611 |
Business Fax Number: | |
Mailing Address: | 101 Double Eagle Dr, FERNLEY |
State: | NV |
Postal Code: | 894089345 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/18/2010 |
NPI Last Update Date: | 10/18/2010 |
Replacement NPI: | 0 |
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NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |