Bagwell, Kimberly Nicole

Bagwell, Kimberly Nicole is an individual health care provider with primary practice located at 500 Upper Chesapeake Dr , Bel Air MD 21014-4324. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bagwell, Kimberly Nicole can be contacted via phone (443) 643-1500.

Contact Information

Primary practice address
500 Upper Chesapeake Dr Bel Air MD 21014-4324
Phone: (443) 643-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1081357 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA944 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C08282 Maryland

Profile Details

NPI number 1568613644
LBN Legal business name Bagwell, Kimberly Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2008
Last updated Mar 14th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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