KELLEE J CROCKETT

BRIDGEWAY HEALTH SERVICES LLC

Dr KELLEE J CROCKETT is a female medical professional, specializing in Physician Assistant. She graduated in 2006.

Contact

BRIDGEWAY HEALTH SERVICES LLC

1032 S BRIDGE WAY PL
SUITE 110
EAGLE
ID
836166099

Tel: 2084750800

KELLEE J CROCKETT Information

Npi 1952441305
Pac Id 9830282334
Professional Enrollment Id I20070829000419
Last Name CROCKETT
First Name KELLEE
Middle Name J
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2006
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BRIDGEWAY HEALTH SERVICES LLC
Group Practice Pac Id 0244462745
Number Of Group Practice Members 7
Line 1 Street Address 1032 S BRIDGE WAY PL
Line 2 Street Address SUITE 110
Marker Of Address Line 2 Suppression
City EAGLE
State ID
Zip Code 836166099
Phone Number 2084750800
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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