Search › Pennsylvania › 174400000X
Kelly Wagner
NPI 1659612745 · on the registry since 2013 · sole proprietor
Practice
- Address
- 727 Carmen Dr
Norristown, PA 19401 - Phone
- (484) 250-1970
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-03-14
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 Pennsylvania