Individual
KIMBERLY LYNN BAGGERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1024 BRANCHWOOD DR, KERNERSVILLE, NC 27284-2210
(276) 613-3918
Mailing address
1024 BRANCHWOOD DR, KERNERSVILLE, NC 27284-2210
(276) 613-3918
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5012593
NC
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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