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Contact Information

KYLE BAGNELL
33 DOC KIMBALL WAY
BIGFORK, MT59911-6491
 Phone: 406-261-6430
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KYLE BAGNELL · (Male)

NPI # 1689322067
Status Active
Credentials
Entity Individual
Enumeration date 03/14/2022
Last updated 12/14/2023 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • MT License # DEN-DEN-LIC-23638
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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