KELSEY WAGNER

Licensed Vocational Nurse

Active Individual
NPI: 1932854387

Practice Address

9846 HWY 31 E
Tyler, TX 75705

Phone: (903) 525-3714

Specialties

Specialty Code Primary License
Licensed Vocational Nurse 164X00000X Yes 1009796 (TX)

Frequently Asked Questions

NPI 1932854387 is the National Provider Identifier for KELSEY WAGNER, a Licensed Vocational Nurse provider located in Tyler, TX. This NPI was enumerated on February 15, 2022.
KELSEY WAGNER practices at 9846 HWY 31 E, Tyler, TX 75705.

Quick Facts

NPI
1932854387
Type
Individual
Enumerated
Feb 15, 2022
Last Updated
Feb 15, 2022

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