Individual
DR. KRISTIN S BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7375 W. US 52, NEW PALESTINE FAMILY MEDICINE, NEW PALESTINE, IN 46163-8950
(317) 861-4171
(317) 861-5325
Mailing address
156 W. MUSKEGON DRIVE, GREENFIELD, IN 46140-3069
(317) 468-6257
(317) 468-6268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01059143A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000332737
ANTHEM PIN#
IN
05
—
200311740A
—
IN
05
—
200483160
—
IN
01
—
7278588
AETNA PIN#
IN
Enumeration date
09/06/2005
Last updated
08/06/2014
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