Individual
KAITLIN BLAIR BAGBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
8504 NE 116TH ST, KANSAS CITY, MO 64157-8180
(931) 538-8950
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
240224
TN
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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