Individual
KIMBERLY ANN BAGLEY
Active
Individual
KIMBERLY ANN BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
228992
NC
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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