Individual provider · Type 1 NPI

Kimberly Ann Wagner

Licensed Practical Nurse · Lebanon, IL

NPI number 1114237575 Active

About NPI 1114237575

Kimberly Ann Wagner's National Provider Identifier is 1114237575, issued on Oct 19, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lebanon, IL. The record was last updated on Oct 19, 2010.