Bagnell, Kelly Garver
Bagnell, Kelly Garver is an individual health care provider with primary practice located at 6 13Th Ave E , Polson MT 59860-5315. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Bagnell, Kelly Garver can be contacted via phone (406) 883-5680.Contact Information
Primary practice address
6 13Th Ave E
Polson MT 59860-5315
Phone: (406) 883-5680
Fax: (406) 883-8926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 8448 | Montana |
Profile Details
| NPI number | 1558390617 |
|---|---|
| LBN Legal business name | Bagnell, Kelly Garver |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2006 |
| Last updated | Apr 14th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558390617 | NPPES |
| Montana | MEDICAID | 0000024905 |
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