Individual provider · Type 1 NPI

Kelsey Ruth Wagner

Student in an Organized Health Care Education/Training Program · Tacoma, WA

NPI number 1013756824 Active

Practice location

5915 Orchard St W
Tacoma, WA 98467-3824

Call (253) 414-7461 Map

Mailing address

9005 120th Street Ct E
Puyallup, WA 98373-7908

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013756824

Kelsey Ruth Wagner's National Provider Identifier is 1013756824, issued on May 21, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tacoma, WA. The record was last updated on May 21, 2024.