Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELVIN KIM WAGLER
Active Sole ProprietorKELVIN KIM WAGLER is a Addiction (Substance Use Disorder) Psychologist healthcare provider located in FRANCH CAMP, California. NPI 1588547103 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Psychologist · FRANCH CAMP, CA
Registration Details
- NPI Number
- 1588547103
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 30, 2025 (1.086888472237 yrs)
- Last Updated
- Jul 30, 2025
- License
-
20189 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7178 S RECOVERY RDFRANCH CAMP, CA, 952319523Browse CA providers · Browse ZIP 95231
- Phone
- 2094686208
- Primary Specialty
-
Addiction (Substance Use Disorder) Psychologist
103TA0400X
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.