Bagwell, Kenneth Arthur
Bagwell, Kenneth Arthur is an sole proprietor health care provider with primary practice located at 2450 Ne Mary Rose Pl Ste 120 , Bend OR 97701-7132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Bagwell, Kenneth Arthur can be contacted via phone (203) 688-2259.Contact Information
Primary practice address
2450 Ne Mary Rose Pl Ste 120
Bend OR 97701-7132
Phone: (203) 688-2259
Fax: (203) 688-5599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD182448 | Oregon |
Profile Details
| NPI number | 1346508249 |
|---|---|
| LBN Legal business name | Bagwell, Kenneth Arthur |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2012 |
| Last updated | Jul 21st, 2022 - about 2 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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