Bagwell, Kacy
Bagwell, Kacy is an individual health care provider with primary practice located at 1405 Clifton Rd Ne , Atlanta GA 30322-1060. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bagwell, Kacy can be contacted via phone (404) 785-6330.Contact Information
Primary practice address
1405 Clifton Rd Ne
Atlanta GA 30322-1060
Phone: (404) 785-6330
Fax: (404) 785-6266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN264575 | Georgia |
Profile Details
| NPI number | 1316532435 |
|---|---|
| LBN Legal business name | Bagwell, Kacy |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2021 |
| Last updated | Jun 6th, 2022 - 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.
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