Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE L WAGAMON, MD
ActiveKYLE L WAGAMON, MD is a Dermatopathology healthcare provider located in WARREN, Ohio. NPI 1780758003 is currently active in the NPPES registry. Verify at CMS.
Dermatopathology · WARREN, OH
Registration Details
- NPI Number
- 1780758003
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2006 (19.742543478209 yrs)
- Last Updated
- Jan 17, 2014
- Licenses
-
35083746 (OH)35083746 (OH)
Practice Information
- Address
-
2660 E MARKET STWARREN, OH, 444836204Browse OH providers · Browse ZIP 44483
- Phone
- 3303934000
- Fax
- 3303925870
- Primary Specialty
-
Dermatopathology
207ND0900X
- Additional Specialty
- Dermatopathology
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.