Bagley, Kimra
Bagley, Kimra is an individual health care provider with primary practice located at 515 S 700 E Ste 2A , Salt Lake City UT 84102-2855. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Bagley, Kimra can be contacted via phone (801) 935-4171.Contact Information
Primary practice address
515 S 700 E Ste 2A
Salt Lake City UT 84102-2855
Phone: (801) 935-4171
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1124868757 |
|---|---|
| LBN Legal business name | Bagley, Kimra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2024 |
| Last updated | May 30th, 2024 - about last year |
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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