Wagner, Kristine Lee

Wagner, Kristine Lee is an sole proprietor health care provider with primary practice located at 1400 E Boulder St Ste 700 , Colorado Springs CO 80909-5533. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Wagner, Kristine Lee can be contacted via phone (719) 364-3278.

Contact Information

Primary practice address
1400 E Boulder St Ste 700 Colorado Springs CO 80909-5533
Phone: (719) 364-3278
Fax: (719) 365-7668
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101686 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA 9101686 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.000845 Colorado

Profile Details

NPI number 1871656462
LBN Legal business name Wagner, Kristine Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated May 9th, 2024 - about 6 months 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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