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Search › Illinois › Licensed Practical Nurse

Kimberly Wagner

NPI 1114237575 · on the registry since 2010

Practice

Address
1 Perryman St
Lebanon, IL 62254
Phone
(618) 537-6165
Organisation at this address
Covenant Care Midwest, Inc.
Cep America - Illinois Snf, Llp
Cedar Ridge Care And Rehabilitation Center Llc
Cedar Ridge Care And Rehabilitation Center Llc
Cedar Ridge Care And Rehabilitation Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Licensed Practical Nurse
164W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-10-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois