Kent R Wagner in Garden City - Physician Assistant
Kent R Wagner - NPI 1629062302
Kent R Wagner is a Physician Assistant in Garden City, Kansas. Kent R Wagner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kent R Wagner is 1629062302. The last update date is 2013-04-25.
Kent R Wagner's current location address is 311 E Spruce St, Garden City, Kansas. You can contact this provider via phone number 6202753700. The mailing address for Kent R Wagner is 311 E Spruce St, Garden City, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kent R Wagner |
|---|---|
| Address | 311 E Spruce St, Garden City, Kansas |
| Phone Number | 6202753700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1629062302 |
|---|---|
| Provider Enumeration Date | 2005-09-08 |
| Last Updated Date | 2013-04-25 |
Provider Mailing Address Detail
| Address | 311 E Spruce St |
|---|---|
| City | Garden City |
| State | Kansas (KS) |
| Post Code | 678465679 |
| Phone Number | 6202753700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1500742 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100399780A | KS | -- |
Post Comment/ Review Below
What is the Kent R Wagner's 1629062302?
The Kent R Wagner's NPI (National Provider Identifier) Number is 1629062302. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kent R Wagner?
The Kent R Wagner is physically situated at 311 E Spruce St, in the city of Garden City, state of KS, with the postal code 678465679.
When was the Kent R Wagner's 1629062302 issued?
The Kent R Wagner's 1629062302 was issued on 2005-09-08.
On what date did the Centers for Medicare & Medicaid Services issue the 1629062302 to Kent R Wagner?
The Kent R Wagner received its 1629062302 assignment from the Centers for Medicare & Medicaid Services on 2005-09-08.
When was the information pertaining to Kent R Wagner most recently updated or revised?
The details related to Kent R Wagner, including its address, specialty, and other relevant information, were last updated or revised on 2013-04-25.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH
NPI Number: 1528061124
Address: 2800 Willow Grove Rd, Manhattan, KS
NPI Number: 1285637884
Address: 1502 E Centennial Dr, Pittsburg, KS
NPI Number: 1336142702
Address: 1881 Telegraph Rd, Rising Sun, MD