Kathleen Therese Wagner in Las Vegas - Family Medicine
Kathleen Therese Wagner - NPI 1952342933
Kathleen Therese Wagner is a Family Medicine in Las Vegas, Nevada. Kathleen Therese Wagner practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kathleen Therese Wagner is 1952342933. The last update date is 2018-08-20.
Kathleen Therese Wagner's current location address is 4920 W Lone Mountain Rd, Las Vegas, Nevada. You can contact this provider via phone number 7026550550 and fax number 7026550545. The mailing address for Kathleen Therese Wagner is 4920 W Lone Mountain Rd, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Therese Wagner |
|---|---|
| Address | 4920 W Lone Mountain Rd, Las Vegas, Nevada |
| Phone Number | 7026550550 |
| Fax Number | 7026550545 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1952342933 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2018-08-20 |
Provider Mailing Address Detail
| Address | 4920 W Lone Mountain Rd |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 89130 |
| Phone Number | 7026550550 |
| Fax Number | 7026550545 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 9669 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9669 | NV | STATE LICENSE | |
| 2018691 | NV | -- | |
| 1952342933 | NV | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kathleen Therese Wagner by the Centers for Medicare & Medicaid Services?
The Kathleen Therese Wagner has been issued the NPI (National Provider Identifier) 1952342933, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kathleen Therese Wagner's facilities are geographically located?
The facilities of Kathleen Therese Wagner are physically situated at the following location: 4920 W Lone Mountain Rd, Las Vegas, NV, 89130.
What is Kathleen Therese Wagner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kathleen Therese Wagner's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did Kathleen Therese Wagner receive its 1952342933 assignment from the Centers for Medicare & Medicaid Services?
The Kathleen Therese Wagner was assigned its 1952342933 on 2006-06-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kathleen Therese Wagner last refreshed?
The information related to the Kathleen Therese Wagner, including its address, specialty, and other relevant details, was last updated on 2018-08-20.