Individual provider · Type 1 NPI

Kyle Jay Hagen, PA-C

Physician Assistant · Wauwatosa, WI

NPI number 1578093258 Active

Practice location

10000 W Bluemound Rd
Wauwatosa, WI 53226-4321

Call (414) 805-5320 Map

Fax (414) 805-5323

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X4038 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1578093258

Kyle Jay Hagen, PA-C's National Provider Identifier is 1578093258, issued on Jun 15, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wauwatosa, WI. The record was last updated on Apr 3, 2025.