MRS. Kimberly Ann Wagner
NPI #1114237575 in Lebanon, Illinois
Provider Information
- NPI Number
- 1114237575
- Entity Type
- Individual
- Name
- MRS. Kimberly Ann Wagner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Oct 19, 2010
- Last Updated
- Oct 19, 2010
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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