Kimberly Ann Wagner
Licensed Practical Nurse · Lebanon, IL
Practice location
1 Perryman StLebanon, IL 62254-1356
- Phone
- (618) 537-6165
NPI record
- NPI
- 1114237575
- Entity type
- Individual (Type 1)
- Enumeration date
- October 19, 2010
- Last updated
- October 19, 2010
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X |
043.085404 | IL |
About Kimberly Wagner
Kimberly Ann Wagner is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 1 Perryman St, Lebanon, IL 62254-1356. The NPI number 1114237575 was assigned on October 19, 2010 and the record was last updated on October 19, 2010.
Kimberly Wagner lists a license in the registry: #043.085404 (IL) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kimberly Ann Wagner?
The NPI number is 1114237575.
What is the phone number of Kimberly Wagner?
The phone number listed for the practice location is (618) 537-6165.
Where is Kimberly Wagner located?
1 Perryman St, Lebanon, IL 62254-1356.
What is the taxonomy code for Kimberly Wagner?
The primary taxonomy code is 164W00000X – Licensed Practical Nurse.
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.
Other Licensed Practical Nurse providers in Lebanon
- Erin Elizabeth Pennington, LPN1209 Natalyns Trce