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Contact Information

KATHRYN L BAGNIEFSKI, PA-C
1836 SOUTH AVE
LA CROSSE, WI54601-5429
 Phone: 608-782-7300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KATHRYN L BAGNIEFSKI · (Female)

NPI Number 1336551928
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/29/2014
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 4205
Hospital affiliation(s)
  • GUNDERSEN LUTH MED CTR - (Acute Care)
    1910 SOUTH AVE
    LA CROSSE, WI 54601
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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