Bagwell Kukor, Marjorie Ann

Bagwell Kukor, Marjorie Ann is an individual health care provider with primary practice located at 1130 Vester Ave Suite C, Springfield OH 45503-7302. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bagwell Kukor, Marjorie Ann can be contacted via phone (937) 390-3800.

Contact Information

Primary practice address
1130 Vester Ave Suite C Springfield OH 45503-7302
Phone: (937) 390-3800
Fax: (937) 390-3804
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6340 Ohio
Behavioral Health & Social Service Providers / Psychologist 103T00000X PPY01684 Missouri
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6340 Ohio

Profile Details

NPI number 1104009166
LBN Legal business name Bagwell Kukor, Marjorie Ann
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2007
Last updated Sep 8th, 2009 - about 16 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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