Bagley, Kimberly Ann

Bagley, Kimberly Ann is an sole proprietor health care provider with primary practice located at 3400 Wake Forest Rd , Raleigh NC 27609-7317. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Bagley, Kimberly Ann can be contacted via phone (919) 954-3000.

Contact Information

Primary practice address
3400 Wake Forest Rd Raleigh NC 27609-7317
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 228992 North Carolina

Profile Details

NPI number 1194106989
LBN Legal business name Bagley, Kimberly Ann
Credentials AGPCNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2015
Last updated Jun 17th, 2015 - about 9 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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