Individual
KIRI WIGGINS BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 BLYTHE BLVD, CHARLOTTE, NC 28203-5866
(704) 381-8840
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-0238
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
2017-01011
NC
Other
Enumeration date
04/21/2014
Last updated
11/25/2025
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