| Bagwell Family Medicine P.l.l.c. | |
|
3487 Edge Rd Kingston OK 73439-8881 | |
| (469) 215-0494 | |
| (469) 215-0494 |
| Full Name | Bagwell Family Medicine P.l.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 3487 Edge Rd, Kingston, Oklahoma |
| Authorized Official Name and Position | Amanda Bagwell (FNP) |
| Authorized Official Contact | 4692150494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bagwell Family Medicine P.l.l.c. 3487 Edge Rd Kingston OK 73439-8881 Ph: (469) 215-0494 | Bagwell Family Medicine P.l.l.c. 3487 Edge Rd Kingston OK 73439-8881 Ph: (469) 215-0494 |
| NPI Number | 1457212730 |
|---|---|
| Provider Enumeration Date | 11/18/2025 |
| Last Update Date | 11/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457212730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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