Individual
MR. ALAN D BAGBY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RN/MICT
Contact information
Practice address
105 KAREN DR, HOLTON, KS 66436-1570
(785) 364-4728
Mailing address
105 KAREN DR, HOLTON, KS 66436-1570
(785) 364-4728
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
MICT
KS
Other
Enumeration date
07/05/2005
Last updated
07/08/2007
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