Individual provider · Type 1 NPI
Kelly Ann Wagner
Specialist · Norristown, PA
NPI number
1659612745
Active
Practice location
727 Carmen Dr
Norristown, PA 19401-3545
Mailing address
727 Carmen Drive
Norristown, PA 19401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | OCO11666 (PA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Norristown
About NPI 1659612745
Kelly Ann Wagner's National Provider Identifier is 1659612745, issued on Mar 14, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Norristown, PA. The record was last updated on Mar 14, 2013.