Organization
BAGWELL FAMILY MEDICINE P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA BAGWELL FNP (FNP)
(469) 215-0494
Entity
Organization
Contact information
Practice address
3487 EDGE RD, KINGSTON, OK 73439-8881
(469) 215-0494
(469) 215-0494
Mailing address
3487 EDGE RD, KINGSTON, OK 73439-8881
(469) 215-0494
(469) 215-0494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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