Kimberly D. Wagner, PA-C
Physician Assistant · Carthage, MO
UnclaimedPA-CNPI 1992821789
- Primary taxonomy
- 363A00000X
- Enumerated
- 2007-03-22
- Practice location
- Carthage, MO
- Last NPPES update
- 2009-09-04
State licenses
- MO · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.