Kimberly D Wagner, PA-C

NPI #1992821789 in Carthage, Missouri

Provider Information

NPI Number
1992821789
Entity Type
Individual
Name
Kimberly D Wagner, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Mar 22, 2007
Last Updated
Sep 4, 2009

Practice Location

Address
3071 S GRAND AVE
ZIP Code
64836-7851
Phone
(417) 358-4811

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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