DR. KELLY VAN WAGNER, M.D.
Internal Medicine
Active
Individual
NPI: 1306035571
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | Yes | 9533 (NV) |
Frequently Asked Questions
NPI 1306035571 is the National Provider Identifier for DR. KELLY VAN WAGNER, M.D., a Internal Medicine provider located in N. Las Vegas, NV. This NPI was enumerated on October 23, 2007.
DR. KELLY VAN WAGNER, M.D. practices at 6380 N. DECATUR BLVD, STE 215, N. Las Vegas, NV 89084.
Quick Facts
- NPI
- 1306035571
- Type
- Individual
- Enumerated
- Oct 23, 2007
- Last Updated
- Feb 13, 2023
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