Kyle Wagner

NPI #1104318310 in Covington, Washington

Provider Information

NPI Number: 1104318310
Entity Type: Individual
Name: Kyle Wagner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Enumeration Date: Jun 4, 2018
Last Updated: Mar 25, 2024

Practice Location

Address: 15610 SE 272ND ST BLDG A
City: Covington
State: Washington
ZIP Code: 98042-4416
Phone: (253) 638-2424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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