Kendall Shannon Wagner in Fullerton - Specialist
Kendall Shannon Wagner - NPI 1306888995
Kendall Shannon Wagner is a Specialist in Fullerton, California. Kendall Shannon Wagner practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kendall Shannon Wagner is 1306888995. The last update date is 2010-08-05.
Kendall Shannon Wagner's current location address is 101 Laguna Rd Ste A, Fullerton, California. You can contact this provider via phone number 7148790050 and fax number 7148790249. The mailing address for Kendall Shannon Wagner is 101 Laguna Rd Ste A, Fullerton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kendall Shannon Wagner |
|---|---|
| Address | 101 Laguna Rd Ste A, Fullerton, California |
| Phone Number | 7148790050 |
| Fax Number | 7148790249 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1306888995 |
|---|---|
| Provider Enumeration Date | 2006-06-11 |
| Last Updated Date | 2010-08-05 |
Provider Mailing Address Detail
| Address | 101 Laguna Rd Ste A |
|---|---|
| City | Fullerton |
| State | California (CA) |
| Post Code | 928353635 |
| Phone Number | 7148790050 |
| Fax Number | 7148790249 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G40943 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kendall Shannon Wagner?
The Kendall Shannon Wagner has been issued the NPI (National Provider Identifier) 1306888995 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Kendall Shannon Wagner?
The Kendall Shannon Wagner is situated at 101 Laguna Rd Ste A, in the city of Fullerton, state of CA, with the zip code 928353635.
What is Kendall Shannon Wagner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kendall Shannon Wagner is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
When did the Kendall Shannon Wagner receive its 1306888995?
The Kendall Shannon Wagner was issued its 1306888995 on 2006-06-11, which is the date when the organization was assigned this unique identifier.
When was the Kendall Shannon Wagner's information last updated?
The Kendall Shannon Wagner's information was last updated on 2010-08-05.