Bagley, Kristin S

Bagley, Kristin S is an individual health care provider with primary practice located at 7375 W. Us 52 New Palestine Family Medicine, New Palestine IN 46163-8950. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bagley, Kristin S can be contacted via phone (317) 861-4171.

Contact Information

Primary practice address
7375 W. Us 52 New Palestine Family Medicine New Palestine IN 46163-8950
Phone: (317) 861-4171
Fax: (317) 861-5325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01059143A Indiana

Profile Details

NPI number 1710971734
LBN Legal business name Bagley, Kristin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Aug 6th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710971734 NPPES
Indiana MEDICAID 200311740A
Indiana MEDICAID 200483160
Indiana Other 000000332737
Indiana Other 7278588

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