Search › Missouri › 363A00000X
Kimberly Wagner, PA-C
NPI 1992821789 · on the registry since 2007
Practice
- Address
- 3071 S Grand Ave
Carthage, MO 64836 - Phone
- (417) 358-4811
- Fax
- (417) 358-4781
- Organisation at this address
- Manzer Family Medicine, Llc
Mcpherson Medical & Diagnostic, Llc
Mcpherson Medical & Diagnostic, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-09-04
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 Missouri