Wagner, Kimberly N
Wagner, Kimberly N is an individual health care provider with primary practice located at 750 Coronado Center Dr Suite 120, Henderson NV 89052-5034. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Wagner, Kimberly N can be contacted via phone (702) 564-4116.Contact Information
Primary practice address
750 Coronado Center Dr Suite 120
Henderson NV 89052-5034
Phone: (702) 564-4116
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 2757 | Nevada |
Profile Details
| NPI number | 1104176593 |
|---|---|
| LBN Legal business name | Wagner, Kimberly N |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2012 |
| Last updated | Sep 30th, 2019 - about 6 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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