Search › South Dakota › 363LA2200X
William Wagner, DRNP, LCSW
NPI 1043219587 · on the registry since 2005
Practice
- Address
- 1000 Health Center Road
Kyle Health Center / Dhhs/Ihs
Kyle, SD 57752 - Phone
- (917) 626-9011
- Organisation at this address
- Kyle Health Center
Kyle Health Center
Indian Health Service-Kyle Health Center
Pine Ridge Indian Health Service HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 33
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 1041C0700X
163W00000X
363LG0600X - Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-29
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 South Dakota