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Search › Arkansas › 207R00000X

Kendall Wagner, M.D

NPI 1699091264 · on the registry since 2010

Practice

Address
500 S University Ave Ste 702
Little Rock, AR 72205
Phone
(501) 766-6311
Fax
(479) 227-2345
Organisation at this address
Arcare
Walgreen Co
Biomednanotech
Edem Clinic Pllc
Self Reliance Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
184

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207RA0000X
208000000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-13

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 Arkansas