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Contact Information

KIMBERLY D CAGLE, FNP
1416 GOBBLER HEAD DR
BOGALUSA, LA70427-6091
 Phone: 985-730-6970
 Fax: 985-735-8883
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KIMBERLY D CAGLE · (Female)

NPI Number 1790450773
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 08/12/2021
Last updated 02/21/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 221829
  • MS License # 904652
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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