Bagwell Family Medicine P.l.l.c.

NPI #1457212730 in Kingston, Oklahoma

Provider Information

NPI Number
1457212730
Entity Type
Organization
Organization Name
Bagwell Family Medicine P.l.l.c.
Primary Specialty
Family Medicine
Enumeration Date
Nov 18, 2025
Last Updated
Nov 18, 2025

Practice Location

Address
3487 EDGE RD
ZIP Code
73439-8881
Phone
(469) 215-0494

Authorized Official

Name
MRS. AMANDA BAGWELL, FNP
Title
FNP
Phone
(469) 215-0494

Specialties & Taxonomy Codes

Specialty
Family Medicine

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