Bagnell, Kelly Jo

Bagnell, Kelly Jo is an sole proprietor health care provider with primary practice located at 23420 Susana Ave , Torrance CA 90505-5430. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Bagnell, Kelly Jo can be contacted via phone (310) 367-0663.

Contact Information

Primary practice address
23420 Susana Ave Torrance CA 90505-5430
Phone: (310) 367-0663
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1184188740
LBN Legal business name Bagnell, Kelly Jo
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2019
Last updated May 21st, 2019 - about 5 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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