Kelly J Bagnell, ATC
Specialist/Technologist, Athletic Trainer in Torrance, California
1184188740- Practice location
- 23420 Susana Ave, Torrance, CA 90505-5430
- Phone
- 310-367-0663
- Fax
- —
- Last updated
- May 21, 2019
Kelly Jo Bagnell is a Specialist/Technologist, Athletic Trainer based in Torrance, CA. Kelly Jo Bagnell practices in Torrance, CA and has the professional credentials of ATC. The NPI Number for Kelly Jo Bagnell is 1184188740. The current practice location address for Kelly Jo Bagnell is 23420 Susana Ave, Torrance, CA 90505-5430 and can be reached out via phone at 310-367-0663.
Provider Profile Details
- NPI Number
- 1184188740
- Provider Name
- Kelly Jo Bagnell
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 23420 Susana Ave, Torrance, CA 90505-5430
- Phone Number
- 310-367-0663
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 29, 2019
- Last Update Date
- May 21, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 23420 Susana Ave
Torrance, CA 90505-5430 - City
- Torrance
- State
- California
- Zip
- 90505-5430
- Phone Number
- 310-367-0663
Provider Business Mailing Address Details
- Address
- 8 Saint Lukes RD
Allston, MA 02134-3100 - City
- Allston
- State
- MA
- Zip
- 02134-3100
License Information
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kelly J Bagnell, ATC?
The NPI number of Kelly J Bagnell, ATC is 1184188740. It was assigned on January 29, 2019 and is currently active in the NPPES registry.
What is the specialty of Kelly J Bagnell, ATC?
Kelly J Bagnell, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).
Where does Kelly J Bagnell, ATC practice?
The practice location is 23420 Susana Ave, Torrance, CA 90505-5430. The office can be reached at 310-367-0663 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184188740 directly on the NPPES registry website.