Individual
MICHELE L BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2222 WINCHESTER AVE, ASHLAND, KY 41101-7847
(606) 325-9644
(606) 329-1207
Mailing address
2222 WINCHESTER AVE, ASHLAND, KY 41101-7847
(606) 325-9644
(606) 329-1207
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02284
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000045746
BLUE CROSS AND BLUE SHIELD
—
01
—
000000583693
BLUE CROSS AND BLUE SHIELD
—
Enumeration date
01/27/2006
Last updated
08/20/2009
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