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NPI Code Detail

MEDICARE: KAITLIN BAGGER

MEDICARE: KAITLIN BAGGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1134083272
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN BAGGER
Provider Business Mailing Address
First Line : 246 NORTHLAND DR STE 200A
Second Line :
City : MEDINA
State : OH
Zip : 44256-3440
Country : US
Telephone Number : 330-725-9195
Fax Number :
Provider Business Practice Location Address
First Line : 246 NORTHLAND DR STE 200A
Second Line :
City : MEDINA
State : OH
Zip : 44256-3440
Country : US
Telephone Number : 330-725-9195
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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Directions to “ KAITLIN BAGGER ” Practice Location

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