Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH WILLIAM WAGONER, BSN, RN-BC
ActiveKEITH WILLIAM WAGONER, BSN, RN-BC is a Gerontological Nurse healthcare provider located in KEMP, Texas. NPI 1407673593 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse · KEMP, TX
Registration Details
- NPI Number
- 1407673593
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2024 (1.9235740703791 yrs)
- Last Updated
- Sep 20, 2024
- License
-
919371 (TX)
Practice Information
- Address
-
110 N STATE HIGHWAY 274KEMP, TX, 751434617Browse TX providers · Browse ZIP 75143
- Phone
- 4302552199
- Primary Specialty
-
Gerontological Nurse
163WG0600X
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.