Kimberly Bagwell, FNP-C
Nurse Practitioner, Family in Columbus, GA. Individual provider (NPI-1).
NPI number1396192548
StatusActive
Last updated in NPPESAug 23, 2024
Details
- NPI
- 1396192548
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Bagwell
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 18, 2016
- Certification date
- Aug 23, 2024
- Last updated
- Aug 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 184587 | GA | Yes |
Practice location
1921 Whittlesey Rd Ste 100Columbus, GA 31904-9209
Phone 706-250-6026
Mailing address
1921 Whittlesey Rd Ste 100Columbus, GA 31904-9209
Phone 706-250-6026
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