Kent R Wagner, PA

NPI #1629062302 in Garden City, Kansas

Provider Information

NPI Number: 1629062302
Entity Type: Individual
Name: Kent R Wagner, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 8, 2005
Last Updated: Apr 25, 2013

Practice Location

Address: 311 E SPRUCE ST
City: Garden City
State: Kansas
ZIP Code: 67846-5679
Phone: (620) 275-3700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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