SearchMissouri363A00000X

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, Llc
Inferred 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