Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KIMBERLY ANN WAGNER
ActiveMRS. KIMBERLY ANN WAGNER is a Licensed Practical Nurse healthcare provider located in LEBANON, Illinois. NPI 1114237575 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · LEBANON, IL
Registration Details
- NPI Number
- 1114237575
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2010 (15.826494271907 yrs)
- Last Updated
- Oct 19, 2010
- License
-
043.085404 (IL)
Practice Information
- Address
-
1 PERRYMAN STLEBANON, IL, 622541356Browse IL providers · Browse ZIP 62254
- Phone
- 6185376165
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in LEBANON, IL
| Name | Credential | NPI |
|---|---|---|
| ERIN ELIZABETH PENNINGTON | LPN | 1447905583 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.