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Contact Information

KIM BAGBY, APRN
235 CHIMNEY ROCK DR
SHEPHERDSVILLE, KY40165-6247
 Phone: 502-550-4575
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KIM BAGBY · (Female)

NPI # 1235672726
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 12/01/2016
Last updated 02/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 3010883
Hospital affiliation(s)
  • MERCY MEDICAL CENTER - (Acute Care)
    2700 NW STEWART PARKWAY
    ROSEBURG, OR 97471
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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