Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY WAGNER, MS, OTRL
ActiveKIMBERLY WAGNER, MS, OTRL is a Specialist healthcare provider located in DEARBORN, Michigan. NPI 1861885477 is currently active in the NPPES registry. Verify at CMS.
Specialist · DEARBORN, MI
Registration Details
- NPI Number
- 1861885477
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2015 (11.462137461998 yrs)
- Last Updated
- Jul 30, 2019
- Licenses
-
5201001795 (MI)5201001795 (MI)
Practice Information
- Address
-
23936 MICHIGAN AVEDEARBORN, MI, 481241833Browse MI providers · Browse ZIP 48124
- Phone
- 3132784601
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Specialist
Other Specialist Providers in DEARBORN, MI
| Name | Credential | NPI |
|---|---|---|
| DR. JOSE U DESOUSA | M.D | 1740276377 |
| DR. DANNY T KEWSON | MD | 1659351872 |
| DR. ALI KAFI | M.D. | 1730150970 |
| DR. FUAD HASSAN TURFAH | M.D. | 1649241910 |
| DR. JOHN AUGUST FINK | M.D. | 1821069444 |
| DR. JEFFREY EUGENE PUCCIO | MD | 1275507733 |
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.