Wagner, Kayleigh

Wagner, Kayleigh is an individual health care provider with primary practice located at 501 W 12Th St , Erie PA 16501-1536. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Wagner, Kayleigh can be contacted via phone (814) 455-3719.

Contact Information

Primary practice address
501 W 12Th St Erie PA 16501-1536
Phone: (814) 455-3719
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2083S0010X RT006112 Pennsylvania

Profile Details

NPI number 1316594674
LBN Legal business name Wagner, Kayleigh
Credentials LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2019
Last updated Aug 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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