Individual
KELLIE CLAYTON BAGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2065 E SOUTH BLVD STE 201, MONTGOMERY, AL 36116-2460
(334) 747-7250
(334) 747-7270
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
(334) 747-4159
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-148539
AL
Other
Enumeration date
07/23/2019
Last updated
01/09/2023
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