Individual
DR. KRISTI BENGTSON BAGNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2304 JUDSON RD STE D, LONGVIEW, TX 75605-4675
(903) 212-6060
Mailing address
2304 JUDSON RD STE D, LONGVIEW, TX 75605-4675
(903) 212-6060
(903) 212-4466
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N6155
TX
Other
Enumeration date
11/06/2008
Last updated
07/21/2022
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