Kristy Michelle Wagner in Knoxville - Physician Assistant
Kristy Michelle Wagner - NPI 1700940830
Kristy Michelle Wagner is a Physician Assistant in Knoxville, Tennessee. Kristy Michelle Wagner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kristy Michelle Wagner is 1700940830. The last update date is 2015-06-04.
Kristy Michelle Wagner's current location address is 1940 Alcoa Hwy, Knoxville, Tennessee. You can contact this provider via phone number 8653058040 and fax number 8653058041. The mailing address for Kristy Michelle Wagner is 1940 Alcoa Hwy, Knoxville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristy Michelle Wagner |
|---|---|
| Address | 1940 Alcoa Hwy, Knoxville, Tennessee |
| Phone Number | 8653058040 |
| Fax Number | 8653058041 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1700940830 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2015-06-04 |
Provider Mailing Address Detail
| Address | 1940 Alcoa Hwy |
|---|---|
| City | Knoxville |
| State | Tennessee (TN) |
| Post Code | 379202244 |
| Phone Number | 8653058040 |
| Fax Number | 8653058041 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA938 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1510179 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kristy Michelle Wagner by the Centers for Medicare & Medicaid Services?
The Kristy Michelle Wagner has been assigned the NPI (National Provider Identifier) 1700940830. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kristy Michelle Wagner's facilities are situated?
The facilities of Kristy Michelle Wagner are physically located at the following address: 1940 Alcoa Hwy, Knoxville, TN, 379202244.
What is the Kristy Michelle Wagner's area of specialization and corresponding taxonomy classification?
The Kristy Michelle Wagner's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700940830 to Kristy Michelle Wagner?
The Centers for Medicare & Medicaid Services originally issued the 1700940830 to Kristy Michelle Wagner on 2006-12-21.
As of what date were the details related to Kristy Michelle Wagner most recently updated or revised?
The information pertaining to Kristy Michelle Wagner, including its address, specialty, and other relevant details, was last updated or revised on 2015-06-04.