Keith William Wagoner, BSN, RN-BC

NPI #1407673593 in Kemp, Texas

Provider Information

NPI Number
1407673593
Entity Type
Individual
Name
Keith William Wagoner, BSN, RN-BC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse - Gerontology
Credential
BSN, RN-BC
Enumeration Date
Sep 20, 2024
Last Updated
Sep 20, 2024

Practice Location

Address
110 N STATE HIGHWAY 274
City
Kemp
State
Texas
ZIP Code
75143-4617
Phone
(430) 255-2199

Specialties & Taxonomy Codes

Specialty
Registered Nurse - GerontologyGerontology

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