Kimberly Bagley, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Bartow, FL
NPI 1609250489 · NPPES record last updated Jul 17, 2015
Key facts
- NPI
- 1609250489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 365 Lyle Pkwy
Bartow, FL 33830-9247 - Phone
- (863) 397-3315
- NPI assigned
- Jul 12, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | FL | Yes |
Addresses
Primary practice location
365 Lyle Pkwy
Bartow, FL 33830-9247
Mailing address
PO Box 1781
Bartow, FL 33831-1781
Phone (321) 961-3489
Other names
- Kimberly Taczak Bagley
Other providers in Bartow, FL
- Alejandra Argenal
- Ricardo Arguello
- Barbara Arnold
- Aus Senior Living at Bartow LLC
- Jennifer Austin
- Angela Baker
- Zandra Baker
- Jennifer E Banfield
- Annette Casey Barnes
- Candace Barnes
All providers in Bartow, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.