Search › Wisconsin › 164W00000X
Kelly Wagner, LPN
NPI 1407180268 · on the registry since 2009
Practice
- Address
- 1143 Vogt Dr Apt 14
West Bend, WI 53095 - Phone
- (262) 483-8439
- Fax
- (262) 353-3484
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-09-28
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 Wisconsin