Kimberly D Wagner in Carthage - Physician Assistant
Kimberly D Wagner - NPI 1992821789
Kimberly D Wagner is a Physician Assistant in Carthage, Missouri. Kimberly D Wagner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kimberly D Wagner is 1992821789. The last update date is 2009-09-04.
Kimberly D Wagner's current location address is 3071 S Grand Ave, Carthage, Missouri. You can contact this provider via phone number 4173584811 and fax number 4173584781. The mailing address for Kimberly D Wagner is 3071 S Grand Ave, Carthage, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly D Wagner |
|---|---|
| Address | 3071 S Grand Ave, Carthage, Missouri |
| Phone Number | 4173584811 |
| Fax Number | 4173584781 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1992821789 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2009-09-04 |
Provider Mailing Address Detail
| Address | 3071 S Grand Ave |
|---|---|
| City | Carthage |
| State | Missouri (MO) |
| Post Code | 648367851 |
| Phone Number | 4173584811 |
| Fax Number | 4173584781 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2004003094 |
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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 |
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Post Comment/ Review Below
What is the unique identifier code issued to Kimberly D Wagner by the Centers for Medicare & Medicaid Services (CMS)?
The Kimberly D Wagner has been assigned the NPI (National Provider Identifier) 1992821789. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Kimberly D Wagner is physically located?
The Kimberly D Wagner is physically situated at the following address: 3071 S Grand Ave, Carthage, MO, 648367851.
What is Kimberly D 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 Kimberly D Wagner is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
When was the Kimberly D Wagner's 1992821789 issued?
The Kimberly D Wagner's 1992821789 was issued on 2007-03-22.
When was the information pertaining to Kimberly D Wagner most recently updated or revised?
The details related to Kimberly D Wagner, including its address, specialty, and other relevant information, were last updated or revised on 2009-09-04.
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