Mrs. KIMBERLY NICOLE BAGWELL PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1568613644- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 500 UPPER CHESAPEAKE DR, BEL AIR, MD, 210144324
- Phone
- (443) 643-1500
Specialties & Taxonomies
Physician Assistant, Medical
License: GA #1081357
Physician Assistant, Surgical
License: AL #PA944
Physician Assistant
Primary License: MD #C08282