Individual
KATHLEEN E BAGWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
2925 E RIGGS RD STE 8-166, CHANDLER, AZ 85249-4199
(602) 909-4623
(480) 895-8417
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
85748
AZ
246ZS0410X
Surgical Technologist
85748
AZ
Other
Enumeration date
04/07/2006
Last updated
05/23/2025
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