Individual
MRS. KIM MARIE BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642
(585) 275-2975
Mailing address
43 GILBERT STREET, RUSHVILLE, NY 14554
(585) 554-4282
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
302662
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F3026621
NY
Other
Enumeration date
10/02/2006
Last updated
07/05/2023
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