Kagdis, Carol

Kagdis, Carol is an individual health care provider with primary practice located at 227 Wakeman Rd , Fairfield CT 06824-5121. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kagdis, Carol can be contacted via phone (410) 271-9526.

Contact Information

Primary practice address
227 Wakeman Rd Fairfield CT 06824-5121
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R139553 Maryland

Profile Details

NPI number 1558354142
LBN Legal business name Kagdis, Carol
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Dec 23rd, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558354142 NPPES
Maryland MEDICAID 6917020 00

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