Organization · Type 2 NPI

Kendall D. Wagner, M.d., PLLC

Primary Care Clinic/Center · Little Rock, AR

NPI number 1528721271 Active

Practice location

500 S University Ave Ste 702
Little Rock, AR 72205-5309

Call (501) 766-6311 Map

Fax (472) 227-2345

Mailing address

46 Miramont Cir
Little Rock, AR 72223-3301

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

3 other providers at this address

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About NPI 1528721271

Kendall D. Wagner, M.d., PLLC's National Provider Identifier is 1528721271, issued on Oct 20, 2021. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Little Rock, AR. The record was last updated on Sep 13, 2026.