J Kent L Wagner in Palmyra - Family Medicine
J Kent L Wagner - NPI 1184689648
J Kent L Wagner is a Family Medicine in Palmyra, Pennsylvania. J Kent L Wagner practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for J Kent L Wagner is 1184689648. The last update date is 2009-11-30.
J Kent L Wagner's current location address is 1400 S Forge Rd, Palmyra, Pennsylvania. You can contact this provider via phone number 7178381301. The mailing address for J Kent L Wagner is 1400 S Forge Rd, Palmyra, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | J Kent L Wagner |
|---|---|
| Address | 1400 S Forge Rd, Palmyra, Pennsylvania |
| Phone Number | 7178381301 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1184689648 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2009-11-30 |
Provider Mailing Address Detail
| Address | 1400 S Forge Rd |
|---|---|
| City | Palmyra |
| State | Pennsylvania (PA) |
| Post Code | 170789519 |
| Phone Number | 7178381301 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD039317E |
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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 |
|---|---|---|---|
| 1158753 | PA | -- |
Post Comment/ Review Below
What is the J Kent L Wagner's 1184689648?
The J Kent L Wagner's NPI (National Provider Identifier) Number is 1184689648. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where J Kent L Wagner's facilities are situated?
The facilities of J Kent L Wagner are physically located at the following address: 1400 S Forge Rd, Palmyra, PA, 170789519.
What is the J Kent L Wagner's specialty and taxonomy code?
The J Kent L Wagner's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did the J Kent L Wagner receive its 1184689648?
The J Kent L Wagner was issued its 1184689648 on 2006-04-19, which is the date when the organization was assigned this unique identifier.
When was the J Kent L Wagner's information last updated?
The J Kent L Wagner's information was last updated on 2009-11-30.