Doctor Name: | MR. ALAN D BAGBY |
NPI Number: | 1245237239 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN/MICT |
License Number: | MICT |
Business Practice Address: | 105 Karen Dr Holton, KS - 664361570 |
Business Phone Number: | 7853644728 |
Business Fax Number: | |
Mailing Address: | 105 Karen Dr, HOLTON |
State: | KS |
Postal Code: | 664361570 |
Phone Number: | 7853644728 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146L00000X |
License Number: | MICT |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Paramedic |
Taxonomy Specialization: | |
Taxonomy Definition: | An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |