Kyle Wagner

Chiropractor · Covington, WA

Individual Active NPI

NPI number 1104318310

Practice location

15610 SE 272ND St Bldg a
Covington, WA 98042-4416
Phone
(253) 638-2424

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NPI record

NPI
1104318310
Entity type
Individual (Type 1)
Enumeration date
June 4, 2018
Last updated
March 25, 2024
Certified
March 25, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X CH60849715 WA

About Kyle Wagner

Kyle Wagner is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 15610 SE 272ND St Bldg a, Covington, WA 98042-4416. The NPI number 1104318310 was assigned on June 4, 2018 and the record was last updated on March 25, 2024.

Kyle Wagner lists a license in the registry: #CH60849715 (WA) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kyle Wagner?

The NPI number is 1104318310.

What is the phone number of Kyle Wagner?

The phone number listed for the practice location is (253) 638-2424.

Where is Kyle Wagner located?

15610 SE 272ND St Bldg a, Covington, WA 98042-4416.

What is the taxonomy code for Kyle Wagner?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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