Kathleen E Bagwell, CSFA
Specialist/Technologist, Other, Surgical Assistant in Chandler, AZ. Individual provider (NPI-1).
NPI number1952364333
StatusActive
Last updated in NPPESMay 23, 2025
Details
- NPI
- 1952364333
- Entity type
- Individual (NPI-1)
- Name
- Kathleen E Bagwell
- Credential
- CSFA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 7, 2006
- Certification date
- May 23, 2025
- Last updated
- May 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 85748 | AZ | Yes |
| 246ZS0410X | Specialist/Technologist, Other, Surgical Technologist | 85748 | AZ |
Practice location
2925 E Riggs Rd Ste 8-166Chandler, AZ 85249-4199
Phone 602-909-4623 · Fax 480-895-8417
Mailing address
Po Box 80217Phoenix, AZ 85060-0217
Phone 602-385-2115 · Fax 480-418-3323
Other practice locations
3033 N 44th St Ste 100
Phoenix, AZ 85018-7227
Phoenix, AZ 85018-7227
Phone 602-648-5444 · Fax 602-772-3801
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