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Kelsey Wagner
NPI 1801269543 · on the registry since 2015
Practice
- Address
- 4754 W 50 N
Rensselaer, IN 47978 - Phone
- (219) 863-3787
Registry record
- Primary taxonomy
- 225XP0200X
225XP0200X
- Also registered as
- 2255A2300X
390200000X - Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-29
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 Indiana